| Jenna Brooklyn Moore, | |
|
800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | |
| (817) 250-5690 | |
| (817) 878-5321 |
| Full Name | Jenna Brooklyn Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 800 5th Ave Ste 300, Fort Worth, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023981909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Texas) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA19726 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Brooklyn Moore, 5001 State Highway 114 Apt 3311, Northlake, TX 76262-2278 Ph: (812) 621-7977 | Jenna Brooklyn Moore, 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 Ph: (817) 250-5690 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 | |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 | |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 | |
Benjamin Craig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 | |
Sharyl Workman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 | |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 |