MS. STEPHANIE M MOON


Address: 1072 Justison St, Wilmington, DE 19801-5162
Phone: 3026603378

MS. STEPHANIE M MOON (NPI# 1306038955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306038955
Entity Type Individual
Full Name MS. STEPHANIE M MOON
Credential APRN, BC
Practice Address 1072 Justison St
Wilmington
DE 19801-5162
Mailing Address 47 Parish Ln
Willingboro
NJ 08046-2707
Practice Telephone 3026603378
Mailing Telephone 6092349665
Enumeration Date 2007-08-16
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
26NJ00139400 NJ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4510 Church Rd, Mount Laurel, NJ 080542210 8564390060 8564520344

Other Providers STEPHANIE MOON

NPI Name Taxonomy Address Enumeration
1497199541 Stephanie A Moon Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1675 Buck Rd, Crozet, VA 22932-2720 2013-04-19
1861099426 Stephanie J Moon Social Worker 3100 47th Ave Ste 3100, Long Island City, NY 11101-3050 2020-10-07
1992273809 Stephanie E Moon Occupational Therapist 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 2018-11-08
1295238020 Stephanie Moon Occupational Therapist 522 S San Pedro St, Los Angeles, CA 90013-2102 2018-03-18
1447781448 Stephanie Moon Nurse Practitioner 2301 E 14th St, Des Moines, IA 50316-1901 2017-03-22

Office Location

Street Address 1072 JUSTISON ST
City WILMINGTON
State DE
Zip Code 19801-5162

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265983134 Shekelia Hines Physical Therapist 1072 Justison St, Wilmington, DE 19801-5162 2016-10-17
1134549330 Stephen Peter Lazar Internal Medicine 1072 Justison St, Wilmington, DE 19801 2014-04-26
1609202126 Kathryn Ashby Stillman Nurse Practitioner 1072 Justison St, Wilmington, DE 19801 2013-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386126068 Meghan Cullen Specialist/Technologist 401 Garasches Lane, Wilmington, DE 19801 2018-08-30
1497257851 Jevs Human Services Psychologist 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 2018-03-01
1134627144 Limen House, Inc Substance Abuse Rehabilitation Facility 1104 N. Adams Street / Triad, Wilmington, DE 19801 2018-01-24
1538698980 Triad Ministry Inc Community/Behavioral Health 1104 N. Adams Street, Wilmington, DE 19801 2017-06-08
1649706086 Fhr -act Program Health Maintenance Organization 103a Rogers Rd., Wilmington, DE 19801 2017-05-04
1275080707 Suzanne Isenberg Social Worker 103 Rogers Roaad, Wilmington, DE 19801 2016-09-01
1467815191 Jenna Leigh Laughlin Internal Medicine 501 W 14th St., Wilmington, DE 19801 2016-03-31
1962830430 Antoinette L. Rodriguez Counselor 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 2013-10-21
1104173509 Connections Community Support Programs, Inc. Clinic/Center 500 W. 10th Street, Wilmington, DE 19801 2012-08-06
1366719916 Richard Mclaughlin Counselor 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 2011-11-28
Find all providers in zip 19801

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093207854 Nicole L Scott Np C Adult Primary Care LLC Nurse Practitioner 410 Foulk Rd Ste 100, Wilmington, DE 19803-3835 2018-06-06
1497135636 Hope O'keefe Nurse Practitioner 36400 Essex Rd, Wilmington, IL 60481-9500 2015-06-03
1285032979 Nicholas Stanley Carte Nurse Practitioner 3333 Wrightsville Ave Unit G, Wilmington, NC 28403-4115 2014-12-11
1356643357 Odion Jonathan Ologbauma Nurse Practitioner 501 W 14th St Fl 2, Wilmington, DE 19801 2010-11-23
1578793725 Kenneth Christopher Farmer Nurse Practitioner 6319a Carolina Beach Rd, Wilmington, NC 28412-2907 2009-07-22
1245487560 Carol Heinrich Nurse Practitioner 1605 Doctors Circle, Tileston Outreach Health Clinic, Wilmington, NC 28403 2008-08-19
1073654844 Mary Elizabeth Canel Nurse Practitioner Uncw Student Health Westside Hall, 601 S. College Rd, Wilmington, NC 28403-3297 2007-02-12
1942317425 Adrienne Louise Woods Nurse Practitioner Wilmington V.a. Medical Center, 1601 Kirkwood Highway, Wilmington, DE 19805 2006-08-23
1457350019 Mary A High Nurse Practitioner 2601 Annand Dr, Suite 4, Wilmington, DE 19808-3719 2005-07-18
1265439327 Melanie Naffke Nurse Practitioner 311-4e Judges Road, Wilmington, NC 28405-3655 2005-07-05
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 19801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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