Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY THERESE MOORE, RN, DNP STUDENT
Active Sole ProprietorKELLY THERESE MOORE, RN, DNP STUDENT is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CHICAGO, Illinois. NPI 1114516812 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CHICAGO, IL
Registration Details
- NPI Number
- 1114516812
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2021 (5.6080104667359 yrs)
- Last Updated
- Jan 16, 2021
- License
-
041487884 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3240 W DIVISION STCHICAGO, IL, 606512405Browse IL providers · Browse ZIP 60651
- Phone
- 3124137425
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
Other Psychiatric/Mental Health Nurse Practitioner Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MISS CHINNAMMA CHRETIEN | APN | 1912219908 |
| ALLISON LALL | — | 1467348706 |
| MERIN PAUL | RN | 1811885296 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.