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Kali Jo Moe, FNP-C
Nurse Practitioner in Carbondale, Illinois
NPI 1790238160

Kali Jo Moe is a Nurse Practitioner based in Carbondale, IL. Kali Jo Moe practices in Carbondale, IL and has the professional credentials of FNP-C. The NPI Number for Kali Jo Moe is 1790238160 and holds a License No. 340962 (Illinois).

The current practice location address for Kali Jo Moe is 1237 E Main St, Carbondale, IL and can be reached out via phone at 618-457-2281.

Location: 1237 E Main St, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790238160
Provider Name
Kali Jo Moe
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1237 E Main St, Carbondale, IL, 62902-3988
Phone Number
618-457-2281
Fax Number
Provider Enumeration Date
08/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04546549 05 NY
institution
Provider Business Practice Location Address Details
Address
1237 E Main St
City
Carbondale
State
Illinois
Zip
62901-3148
Phone Number
618-457-2281
Fax Number
person
Provider Business Mailing Address Details
Address
1237 E Main St
City
Carbondale
State
Illinois
Zip
62901-3148
Phone Number
618-457-2281
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209021379 (Illinois)
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
Family
Taxonomy
363LF0000X
License No.
340962 (New York)
Definition
Definition to come...
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