Individual
STACY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
156 TITAN DR, FLORENCE, AL 35630-1197
(256) 740-0690
(256) 740-0694
Mailing address
156 TITAN DR, FLORENCE, AL 35630-1197
(256) 740-0690
(256) 740-0694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-092232
AL
Other
Enumeration date
01/06/2020
Last updated
10/26/2021
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