Individual provider · Type 1 NPI
Sydney Moore
Nurse Practitioner · Atlanta, GA
Practice location
211 Perimeter Center Pkwy NE Ste 200
Atlanta, GA 30346-1305
Mailing address
2020 Pendleton Pl
Suwanee, GA 30024-2766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN307106 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1336836626
Sydney Moore's National Provider Identifier is 1336836626, issued on Apr 18, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 31, 2026.