Individual provider · Type 1 NPI

Sophia Grace Moody, NP

Pediatric Nurse Practitioner · Huntersville, NC

NPI number 1760183032 Active

Practice location

320 Seagle St Ste 10
Huntersville, NC 28078-4337

Call (704) 368-4351 Map

Fax (704) 519-2586

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5017823 (NC)

Pediatric Nurse Practitioner: Definition to come...

About NPI 1760183032

Sophia Grace Moody, NP's National Provider Identifier is 1760183032, issued on Mar 14, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Huntersville, NC. The record was last updated on Aug 27, 2026.