Individual provider · Type 1 NPI

Tisha Christine Moore, LVN

Licensed Practical Nurse · Chico, CA

NPI number 1679893499 Active

Practice location

1074 Sierra Vista Way
Chico, CA 95926-2854

Fax (530) 343-9302

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XVN162330 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1679893499

Tisha Christine Moore, LVN's National Provider Identifier is 1679893499, issued on Jun 3, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chico, CA. The record was last updated on Feb 12, 2026.