Individual provider · Type 1 NPI

Stacey J. Moore, ARNP

Family Nurse Practitioner · Fort Wright, KY

NPI number 1275684268 Active

Practice location

1955 Dixie Hwy, Ste C
Fort Wright, KY 41011-2792

Fax (859) 344-3782

Mailing address

PO Box 17510
Covington, KY 41017-0510

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3808P (KY)
Ambulatory Women's Health Care Registered Nurse 163WW0101X1086649 (KY)

Family Nurse Practitioner: Definition to come...

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About NPI 1275684268

Stacey J. Moore, ARNP's National Provider Identifier is 1275684268, issued on Jan 16, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wright, KY. The record was last updated on Aug 28, 2012.