Tracey Lee Moore, APRN
Nurse Practitioner, Family in The Villages, FL. Individual provider (NPI-1).
NPI number1164069860
StatusActive
Last updated in NPPESAug 15, 2025
Details
- NPI
- 1164069860
- Entity type
- Individual (NPI-1)
- Name
- Tracey Lee Moore
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Certification date
- Aug 15, 2025
- Last updated
- Aug 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11005204 | FL | Yes |
Practice location
2485 Pinellas PlThe Villages, FL 32163-2703
Phone 352-674-1720 · Fax 352-674-8920
Mailing address
1020 Lake Sumter LndgThe Villages, FL 32162-2699
Phone 352-674-8905 · Fax 352-674-8919
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