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

Miss. Jacqueline Denise Moss

Individual provider Orthotic Fitter · NPI 1407602642

Miss. Jacqueline Denise Moss is an Orthotic Fitter in Moore, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

2100 N Eastern Ave Ste 8EE
Moore, OK 73160-5683
Phone: (802) 393-8007
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotic Fitter Taxonomy 225000000X
Prosthetics Case Management Taxonomy 1744P3200X

Record details

NPI number1407602642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024