Individual provider · Type 1 NPI
Andrea Diane Moore, FNP-BC
Family Nurse Practitioner · Jacksonville, IL
NPI number
1710645544
Active
Practice location
425 E State St
Jacksonville, IL 62650-2125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2021039559 (IL) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Annette E. Huddleston, MSW, CADCCommunity Health Worker Jacksonville, IL NPI 1801533989
- Bethany AllenCommunity Health Worker Jacksonville, IL NPI 1871384768
- Jade YoungCommunity Health Worker Jacksonville, IL NPI 1730979030
- Megan Vant, MA, LCPC, CADCProfessional Counselor Jacksonville, IL NPI 1043801574
Other family nurse practitioner providers in Jacksonville
- Christy D. Wuellner, APRNFamily Nurse Practitioner Jacksonville, IL NPI 1013320589
- Mary Tumsutan, APRNFamily Nurse Practitioner Jacksonville, IL NPI 1013827872
- Kaci N. HavlinFamily Nurse Practitioner Jacksonville, IL NPI 1083155311
- Erica J. Carr, ANPFamily Nurse Practitioner Jacksonville, IL NPI 1164031803
- Elizabeth Wade, NPFamily Nurse Practitioner Jacksonville, IL NPI 1164814711
- Molly Taylor, FNPFamily Nurse Practitioner Jacksonville, IL NPI 1194196493
- Lauren B. Smith, FNP-CFamily Nurse Practitioner Jacksonville, IL NPI 1245094986
- Kaitlyn Renee Davidson, NP-CFamily Nurse Practitioner Jacksonville, IL NPI 1285184713
About NPI 1710645544
Andrea Diane Moore, FNP-BC's National Provider Identifier is 1710645544, issued on Nov 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, IL. The record was last updated on Jan 9, 2026.