Individual provider · Type 1 NPI
Alexis Jade Moon
Family Nurse Practitioner · San Angelo, TX
NPI number
1922848274
Active
Practice location
271 Fort Richardson Ave
San Angelo, TX 76908-4901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 851811 (NV) |
Family Nurse Practitioner: Definition to come...
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- Samuel Luedecke, RN, MSN, FNP-BCFamily Nurse Practitioner San Angelo, TX NPI 1043762149
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About NPI 1922848274
Alexis Jade Moon's National Provider Identifier is 1922848274, issued on May 24, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Angelo, TX. The record was last updated on Dec 17, 2025.