Individual provider · Type 1 NPI
Johnny Clifton Moore
Psychiatric/Mental Health Nurse Practitioner · Lewisville, TX
NPI number
1235948456
Active
Practice location
860 Hebron Pkwy Ste 1101
Lewisville, TX 75057-5147
Mailing address
4705 Cleves Ave
Aubrey, TX 76227-1881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1184125 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1235948456
Johnny Clifton Moore's National Provider Identifier is 1235948456, issued on Jan 2, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lewisville, TX. The record was last updated on Jan 2, 2025.