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

Individual provider Emergency Medicine Physician · NPI 1174766638

Justin Boone Moore, MD is an Emergency Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St Dept OF Emergency Medicine
Jackson, MS 39216-4500
Phone: (601) 984-5570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence T-2340 (MS)

Record details

NPI number1174766638
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2009
Last updated in NPPESJuly 5, 2010

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