person
Joan M Moore, ARNP
Family Nurse Practitioner in Berea, Kentucky
NPI 1699980987

Joan M Moore is a Family Nurse Practitioner based in Berea, KY and is specialized in Family. Joan M Moore practices in Berea, KY and has the professional credentials of ARNP. The NPI Number for Joan M Moore is 1699980987 and holds a License No. 1353P (Kentucky).

The current practice location address for Joan M Moore is 305 Estill St, Berea, KY and can be reached out via phone at 859-985-3212 and via fax at 859-985-3910.

Location: 305 Estill St, Berea, KY, 40403-0001
person
Provider Profile Details
NPI Number
1699980987
Provider Name
Joan M Moore
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
305 Estill St, Berea, KY, 40403-0001
Phone Number
859-985-3212
Fax Number
859-985-3910
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063917 01 KY RN LICENSE
1353P 01 KY ARNP LICENSE
institution
Provider Business Practice Location Address Details
Address
305 Estill St
City
State
Zip
40403-1742
Phone Number
859-985-3212
Fax Number
859-985-3910
person
Provider Business Mailing Address Details
Address
305 Estill St
City
State
Zip
40403-1742
Phone Number
859-985-3212
Fax Number
859-985-3910
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3001353 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
1353P (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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