Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna Brooklyn Moore

Individual provider Physician Assistant · NPI 1023981909

Jenna Brooklyn Moore is a Physician Assistant in Fort Worth, Texas. Qualified in 2025, 1 year ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

800 5th Ave Ste 300
Fort Worth, TX 76104-7303
Phone: (817) 250-5690
Fax: (817) 878-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5001 State Highway 114 Apt 3311, Northlake, TX 76262-2278 — (812) 621-7977

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA19726 (TX)
Physician Assistant Taxonomy 363A00000X (TX)

Record details

NPI number1023981909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address5001 State Highway 114 Apt 3311, Northlake, TX 76262-2278

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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