Individual
KRISTY DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1061 N COLEMAN ST STE 10, PROSPER, TX 75078-2318
(469) 296-1049
(844) 209-9082
Mailing address
1061 N COLEMAN ST STE 10, PROSPER, TX 75078-2318
(469) 296-1049
(844) 209-9082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
626682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202135253
TAX
TX
Enumeration date
07/20/2006
Last updated
07/18/2025
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