Individual provider · Type 1 NPI

Nicole M. Moore, APN

Family Nurse Practitioner · Rockford, IL

NPI number 1295188803 Active

Practice location

3401 N Perryville Rd
Rockford, IL 61114-8011

Fax (815) 971-9570

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041390820 (IL)
Family Nurse Practitioner Primary 363LF0000X209-014814 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1295188803

Nicole M. Moore, APN's National Provider Identifier is 1295188803, issued on Jul 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Mar 14, 2022.