Individual provider · Type 1 NPI

Tanesha Nacole Moore, APRN, FNP-C

Family Nurse Practitioner · San Antonio, TX

NPI number 1205576980 Active

Practice location

4647 Medical Dr
San Antonio, TX 78229-4403

Fax (210) 358-8536

Mailing address

903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903

Other practice locations

  • 3860 E Ih 10, San Antonio, TX 78220-4063 · (210) 644-5060
  • 903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903 · (201) 358-5909
  • 3611 Jaguar Pkwy, San Antonio, TX 78224-3271 · (726) 236-9560

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1072704 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1205576980

Tanesha Nacole Moore, APRN, FNP-C's National Provider Identifier is 1205576980, issued on Mar 30, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Sep 10, 2026.