Individual
DEANNA SHATRICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1328 WEST BROAD STREET, ELIZABETHTOWN, NC 28337
(910) 828-1119
Mailing address
1311 COLTS PRIDE DR, FAYETTEVILLE, NC 28312-7004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MOORE-38S85
NC
Other
Enumeration date
02/16/2023
Last updated
09/22/2025
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