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

Mrs. Jennifer Renee Moore, ATC, LMT

Individual provider Athletic Trainer · NPI 1639106420

Mrs. Jennifer Renee Moore, ATC, LMT is an Athletic Trainer in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

209 E Pennsylvania Ave
Jacksonville, IL 62650-3435
Phone: (217) 243-3926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1639106420
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LMT
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007

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