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Licensee Information

Jaclyn Beth Moore - PA-C
0010-07537
Active
No
09/01/2017
11/20/2026

Active Supervisor

NameTypeStatusApprovedInactive
Anderson, Steven Robert, MD MD Active 09/12/2017

North Carolina Hospital Admitting Privileges

Location
Watauga Medical Center

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/13/2026 4:59:59 PM
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