location
search-icon
person
Mark Benton Moore, ARNP
Pediatric Nurse Practitioner in Charlotte, North Carolina
NPI 1205948981

Mark Benton Moore is a Pediatric Nurse Practitioner based in Charlotte, NC and is specialized in Pediatrics. Mark Benton Moore practices in Charlotte, NC and has the professional credentials of ARNP. The NPI Number for Mark Benton Moore is 1205948981 and holds a License No. 9700154 (North Carolina).

The current practice location address for Mark Benton Moore is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-355-4772 and via fax at 704-355-6227.

Location: 1000 Blythe Blvd, Charlotte, NC, 28260-1372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205948981
Provider Name
Mark Benton Moore
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
1000 Blythe Blvd, Charlotte, NC, 28260-1372
Phone Number
704-355-4772
Fax Number
704-355-6227
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
NP1153 05 SC
7005122 05 NC
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-4772
Fax Number
704-355-6227
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-4772
Fax Number
704-355-6227
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
18527 (Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
9700154 (North Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Charlotte, North Carolina:

person
Amy H. Kelly
NPI 1528067238
Pediatric Nurse Practitioner
1001 Blythe Blvd,
CHARLOTTE, NC
28203-5866
704-381-9900
More