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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Jefferson Wilburn Moore Jr., APN

Adult Health Nurse Practitioner in Batesville, AR · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104128867

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Registry record

Entity type Individual (Type 1)
Name Mr. Jefferson Wilburn Moore Jr.
Credential APN
Sex Male
Practice address Batesville, AR, 72501
Phone (870) 262-1338
Fax (870) 262-1336
Enumeration date Nov 30, 2010
Last updated in NPPES Nov 30, 2010

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License ATP-000312 (AR) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jefferson Moore practice?
The practice location on file with NPPES is in Batesville, AR. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jefferson Moore?
The National Provider Identifier (NPI) for Jefferson Moore is 1104128867, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-30.