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Deactivated NPI 1124678255 Deactivated / Inactive NPI Female Practitioner

Jillian Moore

Registered Nurse • Claremore, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jillian Moore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2019
NPI Deactivation Date December 01, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Jillian Moore was a registered Registered Nurse practicing in Claremore, OK. Throughout an active medical career spanning 1 years, Jillian Moore provided care at the practice location at 101 S MOORE AVE until profile deactivation on 2019-12-01.

Practice Location & Contact Primary Location

Practice Address

101 S Moore Ave

Claremore, OK 740175047

Telephone 9183426200
Associated Practice Facility / Clinic
🏢 Claremore Indian Hospital Facility NPI 1578554945

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Claremore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.5 Yrs
Regional Practice Density
80 Specialists

Practicing in Claremore, OK (1500 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License TX 924576

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Carla May , CNM, APRN

Advanced Practice Midwife

NPI 1003207168

Certified Nurse Midwife, Advanced Practice Registered Nurse

Wylie Hunter , LPN

Licensed Practical Nurse

NPI 1003660135

Licensed Practical Nurse

Terah Ross

Licensed Practical Nurse

NPI 1013489228
NPI 1023271376

Doctor of Medicine (M.D.)

NPI 1023692027

Doctor of Pharmacy (Pharm.D.)

Amber Leuellen

Registered Nurse

NPI 1023803996

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated December 01, 2019

Record deactivated on December 01, 2019

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NPI Profile Deactivated November 27, 2019

Record deactivated on November 27, 2019

NPI Profile Active September 20, 2019

NPI status registered as active in NPPES database

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Updated Practice Location September 20, 2019

Registered at 101 S MOORE AVE, CLAREMORE, OK 740175047 (Tel: 9183426200)

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Updated Business Mailing Address September 20, 2019

Registered at 101 S MOORE AVE, CLAREMORE, OK 740175047 (Tel: 9183426200)

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Provider Name / Credentials Updated September 20, 2019

Recorded as JILLIAN MOORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2019

Registered Nurse (License #924576 in TX)

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Initial NPI Registration & Enumeration September 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124678255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2019
Last Update: September 20, 2019
Deactivation Date: December 01, 2019

Mailing Address

101 S Moore Ave

Claremore, OK 740175047

Phone: 9183426200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.