Individual provider · Type 1 NPI
Carly Jean Moore, APRN
Family Nurse Practitioner · Miami, FL
NPI number
1629896006
Active
Practice location
3100 SW 62nd Ave Ste 121NE
Miami, FL 33155-3009
Mailing address
5955 Ponce De Leon Blvd
Coral Gables, FL 33146-2423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11035619 (FL) |
| Nurse Practitioner | 363L00000X | APRN11035619 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN11035619 (FL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1629896006
Carly Jean Moore, APRN's National Provider Identifier is 1629896006, issued on Oct 2, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami, FL. The record was last updated on Sep 17, 2026.