Individual provider · Type 1 NPI

Tierra Moore

Family Nurse Practitioner · Canton, OH

NPI number 1780580969 Active

Practice location

4667 Dressler Rd NW
Canton, OH 44718-3659

Call (330) 403-6163 Map

Fax (330) 230-0113

Mailing address

8910 Glasgow Cir NW
Massillon, OH 44646-1217

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.0043699 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1780580969

Tierra Moore's National Provider Identifier is 1780580969, issued on Oct 15, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, OH. The record was last updated on Oct 15, 2026.