| Mr Jamie L Moore, PMHNP-BC, DNP | |
|
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
| (757) 953-7997 | |
| Not Available |
| Full Name | Mr Jamie L Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952962664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 788960 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1013372 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nazimuddin Mohammed Md Pa | 4284995051 | 28 |
| Entity Name | Nazimuddin Mohammed Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710495569 PECOS PAC ID: 4284995051 Enrollment ID: O20180220000455 |
| Entity Name | Compassionate Psychiatric Services Of Southlake Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295561801 PECOS PAC ID: 0749716942 Enrollment ID: O20241211003032 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jamie L Moore, PMHNP-BC, DNP 944 Stanhope Gdns, Chesapeake, VA 23320-0741 Ph: (757) 675-0164 | Mr Jamie L Moore, PMHNP-BC, DNP 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-7997 |
Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443 | |
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514 | |
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499 | |
Mrs. Desirae Nicole Pierce, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1894 Fax: 757-953-0090 | |
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200 | |
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311 | |
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035 |