Individual
YOUNGJA MOORE
Active
Individual
YOUNGJA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0072217
DE
363L00000X
Nurse Practitioner
739473
TX
363L00000X
Nurse Practitioner
LP-0010660
DE
363LA2100X
Acute Care Nurse Practitioner
Primary
LP-0010660
DE
Other
Enumeration date
12/14/2010
Last updated
09/18/2025
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