Individual provider · Type 1 NPI

Breauna Moore, RN

Registered Nurse · Stockbridge, GA

NPI number 1700758596 Active

Practice location

905 Melville Dr
Stockbridge, GA 30281-2912

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN270385 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1700758596

Breauna Moore, RN's National Provider Identifier is 1700758596, issued on Sep 22, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Stockbridge, GA. The record was last updated on Sep 22, 2025.