Individual provider · Type 1 NPI

Mary Elizabeth Moore, CPNP-AC/PC

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1184230864 Active

Practice location

1001 Johnson Fy Rd NE
Atlanta, GA 30342-1605

Call (404) 785-5437 Map

Mailing address

1880 Fairway Cir NE
Brookhaven, GA 30319-3821

Other practice locations

3745 Cherokee St NW, Kennesaw, GA 30144-6733 · (770) 429-1005

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	RN250218 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1184230864

Mary Elizabeth Moore, CPNP-AC/PC's National Provider Identifier is 1184230864, issued on Sep 18, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Mar 4, 2022.