Individual
ALEXIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 747-2225
(325) 747-2224
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 747-2225
(325) 747-2224
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1160345
TX
Other
Enumeration date
07/22/2024
Last updated
06/30/2025
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