Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHAUNTE MOORE, CPNP-PC
ActiveMS. SHAUNTE MOORE, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in O FALLON, Illinois. NPI 1558898510 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · O FALLON, IL
Registration Details
- NPI Number
- 1558898510
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2017 (9.2041870816574 yrs)
- Last Updated
- May 20, 2017
- Licenses
-
2017000683 (MO)209015873 (IL)
Practice Information
- Address
-
604 PIERCE BLVDO FALLON, IL, 622692588Browse IL providers · Browse ZIP 62269
- Phone
- 6182229244
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
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.