Individual provider · Type 1 NPI

Kyjana Dominique Moore, LPN

Licensed Practical Nurse · Sherwood, AR

NPI number 1770110462 Active

Practice location

1540 Country Club Rd
Sherwood, AR 72120-5095

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X121607 (AR)

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 1770110462

Kyjana Dominique Moore, LPN's National Provider Identifier is 1770110462, issued on Mar 24, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sherwood, AR. The record was last updated on Mar 24, 2020.