MRS. SHAREA N MOORE NP NPI 1679824098

NPI Information

  • NPI: 1679824098
  • Provider Name: MRS. SHAREA N MOORE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 601 MCDONOUGH BLVD SE
    ATLANTA, GA
    ZIP 30315
  • Phone: (404) 635-5467

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NPI Details

MRS. Sharea N Moore, NP is a family nurse practitioner in Atlanta, GA. MRS. Sharea N Moore, NP NPI is 1679824098. 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:

601 MCDONOUGH BLVD SE
ATLANTA, GA
ZIP 30315-400
Phone: (404) 635-5467

The enumeration date for this NPI number is 9/25/2012 and was last updated on 4/27/2020.

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
1163W00000XRegistered NurseRN207060GEORGIANo
2363L00000XNurse PractitionerF0912305GEORGIANo
3363LF0000XNurse PractitionerFamilyF0912305GEORGIAYes
4363LF0000XNurse PractitionerFamilyRN207060GEORGIANo

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: 3/30/2025

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