Jacob Moore, NP

NPI 1023165610 · on the registry since 2007

Practice

Address: 550 S Beretania St Ste 601
Honolulu, HI 96813
Phone: (808) 691-8877
Fax: (808) 691-8875
Organisation at this address: Tolac Inc
Aether Llc
Sam Evans, Md
Derm Docs Llc
S&W Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 148

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii