LINDA DAVIS-MOON CRNP NPI 1326245598

NPI Information

NPI: 1326245598
Provider Name: LINDA DAVIS-MOON, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: JEFFERSON UNIVERSITY PHYSICIANS

PECOS Registration: Yes

Address:
1020 SANSOM ST.
239 THOMPSON BLDG.
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6844
Get Directions

Linda Davis-moon, CRNP is a family nurse practitioner in Philadelphia, PA with 26 years of experience. Linda Davis-moon, CRNP NPI is 1326245598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1020 SANSOM ST.
239 THOMPSON BLDG.
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-6844
Fax: (215) 923-6225

The NPI 1326245598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 2/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP004940B	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S99834	MEDICARE UPIN	PENNSYLVANIA
2	MD0934681	OTHER	PENNSYLVANIA	DEA LICENSE
3	SP004940B	OTHER	PENNSYLVANIA	CRNP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »