Individual provider · Type 1 NPI
Oliver Moore, DNP, APN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Newark, NJ
NPI number
1770068942
Active
Practice location
550 Broad St Ste 606
Newark, NJ 07102-4537
Fax (877) 485-8918
Mailing address
532 Marlton Pike W # 407
Marlton, NJ 08053-2075
Other practice locations
- 135 Jackson Rd, Medford, NJ 08055-9231 · (323) 853-8019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00872800 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770068942
Oliver Moore, DNP, APN, PMHNP-BC's National Provider Identifier is 1770068942, issued on Oct 3, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newark, NJ. The record was last updated on Jun 5, 2026.