Individual
CHARLENE BETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 466-4194
(217) 466-4099
Mailing address
1 PHIPPS LANE, PARIS, IL 61944
(217) 463-4340
(217) 463-4342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018036
IL
Other
Enumeration date
02/15/2018
Last updated
03/10/2023
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