Individual provider · Type 1 NPI

Katlyn Nicole Moore

Acute Care Nurse Practitioner · Valdosta, GA

NPI number 1083591176 Active

Practice location

2501 N Patterson St
Valdosta, GA 31602-1735

Other practice locations

  • 2409 N Patterson St Ste 340C, Valdosta, GA 31602-2512 · (229) 433-6400

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XAPRN-NP281867 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1083591176

Katlyn Nicole Moore's National Provider Identifier is 1083591176, issued on Aug 19, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Valdosta, GA. The record was last updated on Feb 11, 2026.