person
Susan John Moore, FNP
Family Nurse Practitioner in Kokomo, Indiana
NPI 1134400864

Susan John Moore is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Susan John Moore practices in Kokomo, IN and has the professional credentials of FNP. The NPI Number for Susan John Moore is 1134400864 and holds a License No. 71003756A (Indiana).

The current practice location address for Susan John Moore is 3118 South Lafountain, Kokomo, IN and can be reached out via phone at 765-864-4160 and via fax at 765-864-4166.

Location: 3118 South Lafountain, Kokomo, IN, 46250-1946
person
Provider Profile Details
NPI Number
1134400864
Provider Name
Susan John Moore
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3118 South Lafountain, Kokomo, IN, 46250-1946
Phone Number
765-864-4160
Fax Number
765-864-4166
Provider Enumeration Date
09/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100071250A 05 IN
institution
Provider Business Practice Location Address Details
Address
3118 South Lafountain
City
State
Zip
46902-3710
Phone Number
765-864-4160
Fax Number
765-864-4166
person
Provider Business Mailing Address Details
Address
3118 South Lafountain
City
State
Zip
46902-3710
Phone Number
765-864-4160
Fax Number
765-864-4166
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003756A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71003756A (Indiana)
Definition
Definition to come...
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