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

Mr. Jefferson Wilburn Moore Jr., APN

Individual provider Adult Health Nurse Practitioner · NPI 1104128867

Mr. Jefferson Wilburn Moore Jr., APN is a Nurse Practitioner in Batesville, Arkansas. Qualified in 2010, 16 years ago. Practices with White River Health System, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
16
Licensed in
AR
In the registry since
2010
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

1710 Harrison St
Batesville, AR 72501-7303
Phone: (870) 262-1338
Fax: (870) 262-1336
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence ATP-000312 (AR)

Record details

NPI number1104128867
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorYes
NPI enumeratedNovember 30, 2010
Last updated in NPPESNovember 30, 2010

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice White River Health System, Inc. — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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