NPI Registry.org

Myesha D Moore

NPI Registration Record

Provider / OrganizationNPIDate Certified
MYESHA D MOORE17105704942021-02-14

Myesha D Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710570494. Registration indicates Myesha D Moore is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)

Entity TypeIndividual
Provider Name Myesha D Moore LPN
Practice Office Address250 BRAY ST
ATHENS, GA US
Practice Office Telephone7063896789
Mailing Address155 MEADOW LN
HULL, GA 306463842 US
Business Telephone6785985945
HPT Codes
CodePractice
License No
State
164W00000X PRIMARY
Nursing Service Providers
Licensed Practical Nurse
Licensed Practical Nurse

Licensed Practical Nurse
Nursing Service Providers
5241012
FL
OPI Codes

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