NPI 1366412843

Jodi Moore, PAC

Practitioner Physician Assistant Dickinson, ND

Practice location

Address: 47 8th St W, Dickinson, ND 58601-3951
Phone: (701) 456-3819
Fax: (701) 456-3815

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0303 (ND)

Other Physician Assistant providers in North Dakota →

Registry record

NPI: 1366412843
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.