Individual
MELISSA JANE MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(502) 624-9007
Mailing address
2657 W 12TH AVE, FORT MCCOY, WI 54656-5240
(608) 388-3871
(608) 388-7877
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
140711-130
WI
163WX0106X
Occupational Health Registered Nurse
Primary
—
WI
Other
Enumeration date
01/03/2006
Last updated
04/03/2026
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