# MORE WELLNESS MEDICAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154296408
- **Authorized official:** MS. TERA N MOORE NP (NURSE PRACTITIONER)
- **Authorized official phone:** (757) 724-7310

## Contact information

- **Practice address:** 4019 COBBLEWOOD DR, DISPUTANTA, VA 23842-4518
- **Practice address phone:** (757) 724-7310
- **Practice address fax:** (757) 724-7310
- **Mailing address:** 4019 COBBLEWOOD DR, DISPUTANTA, VA 23842-4518
- **Mailing address phone:** (757) 724-7310
- **Mailing address fax:** (757) 724-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2025
- **Last updated:** 10/07/2025