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Raven Tpring Moore, AGNP-C
Nurse Practitioner in Covington, Georgia
NPI 1568041168

Raven Tpring Moore is a Nurse Practitioner based in Lawrenceville, GA. Raven Tpring Moore practices in Covington, GA and has the professional credentials of AGNP-C. The NPI Number for Raven Tpring Moore is 1568041168 and holds a License No. RN277339 (Georgia).

The current practice location address for Raven Tpring Moore is 6175 Newton Dr Ne, Covington, GA and can be reached out via phone at 678-342-6000. You can also correspond with Raven Tpring Moore through the mailing address at 2878 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA - 30044-5896 (mailing address contact number: 678-344-8700).

Location: 6175 Newton Dr Ne, Covington, GA, 30044-5896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568041168
Provider Name
Raven Tpring Moore
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
6175 Newton Dr Ne, Covington, GA, 30044-5896
Phone Number
678-342-6000
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
6175 Newton Dr Ne
City
Covington
State
Georgia
Zip
30014-2690
Phone Number
678-342-6000
Fax Number
person
Provider Business Mailing Address Details
Address
6175 Newton Dr Ne
City
Covington
State
Georgia
Zip
30014-2690
Phone Number
678-342-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
RN277339 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN277339 (Georgia)
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 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
RN277339 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN277339 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
RN277339 (Georgia)
Definition
Definition to come...
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