Individual
NIKKI LYNN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
535 E MAIN ST, GRAYSON, KY 41143-1444
(606) 314-0053
(606) 212-0226
Mailing address
535 E MAIN ST, GRAYSON, KY 41143-1444
(606) 314-0053
(606) 212-0226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113996
WV
363LF0000X
Family Nurse Practitioner
Primary
3013092
KY
Other
Enumeration date
01/29/2019
Last updated
09/08/2025
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