Individual provider · Type 1 NPI
Marissa Michelle Moore, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Dublin, OH
NPI number
1215715784
Active
Practice location
5060 Bradenton Ave Ste A
Dublin, OH 43017-3511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 473399 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN.CNP.0037466 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1215715784
Marissa Michelle Moore, PMHNP's National Provider Identifier is 1215715784, issued on Sep 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dublin, OH. The record was last updated on Apr 25, 2025.