# MS. DONNA A MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003090150
- **Gender:** F
- **Credential:** APRN-C, PMHNP-BC, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 5796691 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | 95029693 | CA | — |
| 363LA2200X | Adult Health Nurse Practitioner | RN241756 | GA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN241756 | GA | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 11034073 | FL | — |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 03/12/2025