Individual provider · Type 1 NPI
Nicole Leigh Moore, NP
Family Nurse Practitioner · Dallas, TX
NPI number
1376010272
Active
Practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
11221 Ferndale Rd
Dallas, TX 75238-1017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP139142 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376010272
Nicole Leigh Moore, NP's National Provider Identifier is 1376010272, issued on Oct 29, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Oct 29, 2018.