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

Individual provider Anesthesiologist Assistant · NPI 1801870480

Mr. Jeffery W Moore, CRNA is an Anesthesiologist Assistant in Tipton, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 S Main St
Tipton, IN 46072-9753
Phone: (765) 675-8521
Fax: (765) 675-8520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28087122A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 28087122 (IN)

Record details

NPI number1801870480
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESOctober 1, 2014