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

Jennifer Renae Moore

Individual provider Nurse Practitioner · NPI 1083409502

Jennifer Renae Moore is a Nurse Practitioner in Borger, Texas. Qualified in 2013, 13 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2025
Specialties on file
2

Practice location Address checks out

120 Avalon St
Borger, TX 79007-8303
Phone: (806) 886-0177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Coulter St Ste 3, Amarillo, TX 79106-1787 — (806) 350-7601

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1186147 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP1186147 (TX)

Record details

NPI number1083409502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address120 Avalon St, Borger, TX 79007-8303

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Borger