Individual
TIPHANI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
(512) 482-0390
Mailing address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
(512) 482-0390
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1142467
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1142467
TX
Other
Enumeration date
10/02/2023
Last updated
03/10/2026
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