Individual provider · Type 1 NPI
Julie Raye Moody, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Rexburg, ID
NPI number
1508530676
Active
Practice location
992 E Butte Rd
Rexburg, ID 83440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 69140 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508530676
Julie Raye Moody, PMHNP's National Provider Identifier is 1508530676, issued on Aug 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rexburg, ID. The record was last updated on Jun 4, 2026.