Individual provider · Type 1 NPI

Phyllis Ann Moore, FNP

Family Nurse Practitioner · Fort Worth, TX

NPI number 1235407248 Active

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Call (817) 321-0387 Map

Fax (469) 522-6889

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	254099 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1235407248

Phyllis Ann Moore, FNP's National Provider Identifier is 1235407248, issued on Dec 5, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 5, 2011.