Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA DIANE MOORE, FNP-BC
Active Sole ProprietorANDREA DIANE MOORE, FNP-BC is a Family Nurse Practitioner healthcare provider located in JACKSONVILLE, Illinois. NPI 1710645544 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1710645544
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2021 (4.7000344057201 yrs)
- Last Updated
- Jan 9, 2026
- License
-
2021039559 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 E STATE STJACKSONVILLE, IL, 626502125Browse IL providers · Browse ZIP 62650
- Phone
- 2174081195
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JAMIE LEE LANDSVERK | FNP-BC | 1316101314 |
| JODIE D. VANMETER | FNP-BC | 1972769719 |
| ABBY L CUNNINGHAM | FNP | 1528299955 |
| ROSEMARY L. HERZBERGER | FNP-BC | 1548560089 |
| JANE E. PIPER | NP | 1801153945 |
| MRS. DIANE M. LIETZ | APRN FNP-C | 1740522101 |
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.