Individual provider · Type 1 NPI

Raven Tpring Moore, AGNP-C

Nurse Practitioner · Covington, GA

NPI number 1568041168 Active

Practice location

6175 Newton Dr NE
Covington, GA 30014-2690

Mailing address

2878 Five Forks Trickum Rd
Lawrenceville, GA 30044-5896

Other practice locations

  • 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044-5896 · (678) 344-8700

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse 163WS0200XRN277339 (GA)
Adult Health Nurse Practitioner 363LA2200XRN277339 (GA)
Gerontology Nurse Practitioner 363LG0600XRN277339 (GA)
Primary Care Nurse Practitioner 363LP2300XRN277339 (GA)
Nurse Practitioner Primary 363L00000XRN277339 (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 1568041168

Raven Tpring Moore, AGNP-C's National Provider Identifier is 1568041168, issued on Apr 2, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Covington, GA. The record was last updated on Mar 18, 2024.