Individual provider · Type 1 NPI
Michaela Marie Moore
Family Nurse Practitioner · Dublin, GA
NPI number
1508666801
Active
Practice location
100 Haystack Ln Lot G2
Dublin, GA 31021-0066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRNNP296510 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508666801
Michaela Marie Moore's National Provider Identifier is 1508666801, issued on Mar 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dublin, GA. The record was last updated on May 12, 2026.