Individual provider · Type 1 NPI

Shannon Denise Moore, LPN

Licensed Practical Nurse · Hillsboro, IL

NPI number 1861692022 Active

Practice location

11191 Illinois Route 185
Hillsboro, IL 62049-2664

Fax (217) 532-6361

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X43074378 (IL)

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 1861692022

Shannon Denise Moore, LPN's National Provider Identifier is 1861692022, issued on Jul 24, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hillsboro, IL. The record was last updated on Jul 24, 2007.