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

Tara Grace Moore

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932339603

Tara Grace Moore is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2020, 6 years ago. Practices with Supportive Psych Care of Arkansas PA, a 40-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2009
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Practice location Address checks out

2707 Browns Ln
Jonesboro, AR 72401-7213
Phone: (870) 972-4939
Fax: (870) 972-4911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 125106 (AR)

Record details

NPI number1932339603
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2009
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Supportive Psych Care Of Arkansas Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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