Stacy Lynn Moore, CRNP
Nurse Practitioner, Family in Florence, AL. Individual provider (NPI-1).
NPI number1265071450
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1265071450
- Entity type
- Individual (NPI-1)
- Name
- Stacy Lynn Moore
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2020
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-092232 | AL | Yes |
Practice location
156 Titan DrFlorence, AL 35630-1197
Phone 256-740-0690 · Fax 256-740-0694
Mailing address
156 Titan DrFlorence, AL 35630-1197
Phone 256-740-0690 · Fax 256-740-0694
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