Individual provider · Type 1 NPI

Lashanda Denise Moore, NP

Family Nurse Practitioner · Stone Mountain, GA

NPI number 1205306891 Active

Practice location

5582 Memorial Dr
Stone Mountain, GA 30083-3215

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN249446 (GA)
Nurse Practitioner 363L00000XRN249446 (GA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN-NP249446 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1205306891

Lashanda Denise Moore, NP's National Provider Identifier is 1205306891, issued on Nov 27, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stone Mountain, GA. The record was last updated on Jun 14, 2026.