Individual
JOSHUA WAYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
437 S COUNTRY CLUB RD, OSCEOLA, AR 72370-4207
(870) 563-0828
(870) 587-0799
Mailing address
437 S COUNTRY CLUB RD, OSCEOLA, AR 72370-4207
(870) 563-0828
(870) 587-0799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
115034
NE
363LF0000X
Family Nurse Practitioner
Primary
122653
AR
363LF0000X
Family Nurse Practitioner
2020021031
MO
363LF0000X
Family Nurse Practitioner
53075
WY
363LF0000X
Family Nurse Practitioner
C-APN.0101204-C-NP
CO
Other
Enumeration date
04/06/2020
Last updated
02/06/2025
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