Individual
MRS. KASIE ALISON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(678) 592-1863
Mailing address
52 GADWALL DR W, BEAUFORT, SC 29907-1837
(678) 592-1863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19855
SC
Other
Enumeration date
11/06/2015
Last updated
04/03/2024
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