Individual provider · Type 1 NPI
Daquenna Moore
Psychiatric/Mental Health Nurse Practitioner · Hurlburt, FL
NPI number
1407711872
Active
Practice location
130 Letournrau Circle
Hurlburt, FL 32544
Mailing address
1341 Cypress Dr
Eglin Afb, FL 32542-1458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 975356 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1407711872
Daquenna Moore's National Provider Identifier is 1407711872, issued on Dec 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hurlburt, FL. The record was last updated on Dec 18, 2025.