PATRICIA MOORE (NPI# 1356574206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356574206 |
| Entity Type | Individual |
| Full Name | PATRICIA MOORE |
| Credential | FNP-BC, APRN |
| Practice Address |
1230 Brampton Ave Statesboro GA 30458-0849 |
| Mailing Address |
Po Box 1039 Statesboro GA 30459-1039 |
| Practice Telephone | 9124895437 |
| Mailing Telephone | 9124895437 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN151654 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699800 | Patricia Moore | Registered Nurse | 1101 Sam Perry Blvd Ste 307, Fredericksburg, VA 22401-4466 | 2016-10-09 |
| 1588012678 | Patricia A Moore | Social Worker | 1300 W Belmont Ave Ste 309, Chicago, IL 60657-3241 | 2016-05-30 |
| 1841657244 | Patricia Diahann Moore | Counselor | 133 Cheesman Lake Cir, Divide, CO 80814-9776 | 2016-01-15 |
| 1861893752 | Patricia Ann Moore | Social Worker | 412 6th Ave Fl 7, New York, NY 10011-8409 | 2014-09-10 |
| 1982946232 | Patricia Jeanne Moore | Pathology | 25331 Rayford Crest Dr, Spring, TX 77386-2838 | 2013-03-25 |
| 1356643324 | Patricia Louise Moore | Physician Assistant | 1453 S. Bancroft, Indianaplis, IN 46203-3709 | 2010-11-24 |
| 1154658763 | Patricia Edwards Moore | Mechanotherapist | 819 Se Morrison St Ste 240, Portland, OR 97214-6312 | 2009-11-03 |
| 1093902397 | Patricia D. Moore | Massage Therapist | 22 E Shenango St, Sharpsville, PA 16150-1122 | 2007-10-01 |
| 1649337213 | Patricia Rose Moore | Psychologist | 393 Mass Ave, Arlington, MA 02474 | 2007-01-03 |
| 1164431029 | Patricia A. Moore | Social Worker | 520 N Haines St, Boise, ID 83712-8013 | 2006-08-07 |
| Street Address |
1230 BRAMPTON AVE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-0849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720196520 | Rao Prasad Immaneni | Pediatrics | 1230 Brampton Ave, Statesboro, GA 30458-0849 | 2006-08-29 |
| 1578797627 | South Georgia Pediatrics, P.C. | Clinic/Center | 1230 Brampton Ave, Statesboro, GA 30458-0849 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014425 | Heather Sumner Herrin | Nurse Practitioner | 3024 Mccall Blvd, Statesboro, GA 30461-4919 | 2020-05-17 |
| 1235759895 | Health and Wellness PC | Nurse Practitioner | 1303 Sunset Cir, Statesboro, GA 30458-1575 | 2020-04-23 |
| 1619434917 | Kathryn Lynn Bowen-williams | Nurse Practitioner | 1800 Js Nesmith Rd, Statesboro, GA 30458-3613 | 2019-02-23 |
| 1306337332 | Phyllis Evon Solomon | Nurse Practitioner | 930 Teepee Way, Statesboro, GA 30461-6786 | 2018-05-25 |
| 1588185904 | Erica B Lanier | Nurse Practitioner | 5219 Williams Rd, Statesboro, GA 30458-0122 | 2017-07-06 |
| 1053849174 | Julie Laing Giardina | Nurse Practitioner | 7251 Zell Miller Pkwy, Statesboro, GA 30458-3487 | 2017-06-02 |
| 1700259108 | Melissa Beasley | Nurse Practitioner | 450 Georgia Ave Ste B, Statesboro, GA 30458-5590 | 2015-11-06 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1720428055 | Beverly B. Smith | Nurse Practitioner | 2331 Franklin Rd, Statesboro, GA 30461-7584 | 2013-07-01 |
| 1295081685 | Alan W Skipper | Nurse Practitioner | 127 N College St, Statesboro, GA 30458-5387 | 2012-08-03 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on PATRICIA MOORE.
| 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.