Individual
CRYSTAL LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 UNIVERSITY RD, STUDENT HEALTH SERVICES, PEMBROKE, NC 28372-8699
(910) 521-6219
(910) 521-6549
Mailing address
1 UNIVERSITY RD, STUDENT HEALTH SERVICES, PEMBROKE, NC 28372-8699
(910) 521-6219
(910) 521-6549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005089
—
NC
Enumeration date
10/17/2008
Last updated
01/14/2015
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