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

Jodie H Moore, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1669031266

Jodie H Moore, APRN-CNP is a Nurse Practitioner in Boswell, Oklahoma. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019

Practice location Address checks out

415 6th St
Boswell, OK 74727-7472
Phone: (580) 566-2530
Fax: (580) 566-2533
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 86293 (OK)

Record details

NPI number1669031266
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESMarch 25, 2022
Certification dateMarch 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boswell