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

Jordan Breanne Moore

Individual provider Case Manager/Care Coordinator · NPI 1679460810

Jordan Breanne Moore is a Case Manager/Care Coordinator in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

495 N Shilling Ave
Blackfoot, ID 83221-2336
Phone: (435) 744-3535
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (ID)

Record details

NPI number1679460810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address591 Turin Way Apt 26101, Rexburg, ID 83440-1583

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