Individual provider · Type 1 NPI
Stephanie Moore, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Indianapolis, IN
NPI number
1245137769
Active
Practice location
8401 Harcourt Rd
Indianapolis, IN 46260-2036
Mailing address
11722 Hamble Dr
Indianapolis, IN 46235-9735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 24844048A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245137769
Stephanie Moore, PMHNP-BC's National Provider Identifier is 1245137769, issued on Oct 20, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 20, 2026.