Individual provider · Type 1 NPI
Hannah Moore, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Valdosta, GA
NPI number
1194252650
Active
Practice location
4649 Robinson Rd
Valdosta, GA 31605-5486
Fax (229) 425-9263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN222613 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN222613 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194252650
Hannah Moore, PMHNP-BC's National Provider Identifier is 1194252650, issued on May 16, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Valdosta, GA. The record was last updated on Apr 8, 2021.