Individual
DAQUENNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LETOURNRAU CIRCLE, HURLBURT, FL 32544
(850) 881-4237
Mailing address
1341 CYPRESS DR, EGLIN AFB, FL 32542-1458
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
975356
TX
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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