Individual
ALEXA NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
107 HYANNIS DR, HOLLY SPRINGS, NC 27540-8336
(919) 363-8666
Mailing address
107 HYANNIS DR, HOLLY SPRINGS, NC 27540-8336
(919) 363-8666
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020833
NC
363LA2200X
Adult Health Nurse Practitioner
5020833
NC
363LF0000X
Family Nurse Practitioner
0024187422
VA
363LF0000X
Family Nurse Practitioner
5020833
NC
363LP2300X
Primary Care Nurse Practitioner
5020833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5020833
LICENSE
NC
01
—
NA1377A
MEDICARE
NC
Enumeration date
06/28/2023
Last updated
01/01/2026
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