Individual
THERESA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Mailing address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
298573
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022767
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP95019703
CA
Other
Enumeration date
06/05/2020
Last updated
01/15/2026
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