Jesse James Moore Sr.
Jesse James Moore Sr. is a Community Health Worker in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2025.
- Licensed in
- NV
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
3430 E Russell Rd Ste 320Las Vegas, NV 89120-2201
Phone: (702) 522-7964
Fax: (702) 522-7998
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence PRSS-5296 (NV) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X (NV) |
Record details
| NPI number | 1306712815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 13, 2025 |
| Last updated in NPPES | October 21, 2025 |
| Certification date | October 21, 2025 |
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