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

Mr. Jeffrey Glenn Moore, ATC

Individual provider Athletic Trainer · NPI 1578533790

Mr. Jeffrey Glenn Moore, ATC is an Athletic Trainer in University, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Room 118 Fieldhouse All American Dr
University, MS 38677
Phone: (662) 915-7536
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0087 (MS)

Record details

NPI number1578533790
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 13, 2026

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