Search › Wisconsin › 163WC0400X
Jacqueline Moore
NPI 1386551786 · on the registry since 2026
Practice
- Address
- 2606 E Honeysuckle Dr
Oak Creek, WI 53154 - Phone
- (414) 509-1811
- Fax
- (414) 762-7864
Registry record
- Primary taxonomy
- 163WC0400X
163WC0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-24
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 Wisconsin