person
Joanna Leigh Moore, FNP-BC
Family Nurse Practitioner in Peru, Indiana
NPI 1326686395

Joanna Leigh Moore is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Joanna Leigh Moore practices in Peru, IN and has the professional credentials of FNP-BC. The NPI Number for Joanna Leigh Moore is 1326686395 and holds a License No. 28164395A (Indiana).

The current practice location address for Joanna Leigh Moore is 661 E Main St, Peru, IN and can be reached out via phone at 765-472-2519 and via fax at 765-400-4465.

Location: 661 E Main St, Peru, IN, 46250-1946
person
Provider Profile Details
NPI Number
1326686395
Provider Name
Joanna Leigh Moore
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
661 E Main St, Peru, IN, 46250-1946
Phone Number
765-472-2519
Fax Number
765-400-4465
Provider Enumeration Date
12/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300036259 05 IN
institution
Provider Business Practice Location Address Details
Address
661 E Main St
City
State
Zip
46970-2662
Phone Number
765-472-2519
Fax Number
765-400-4465
person
Provider Business Mailing Address Details
Address
661 E Main St
City
State
Zip
46970-2662
Phone Number
765-472-2519
Fax Number
765-400-4465
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28164395A (Indiana)
Definition
Definition to come...
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