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

Jennifer Moore, PA

Individual provider Surgical Physician Assistant · NPI 1790781052

Jennifer Moore, PA is a Surgical Physician Assistant in Temple Terrace, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA3401 (FL)

Record details

NPI number1790781052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESMarch 31, 2011
Mailing address13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925

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