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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OCTAVIA MOORE, NP

Active

OCTAVIA MOORE, NP is a Primary Care Nurse Practitioner healthcare provider located in COLUMBIA, South Carolina. NPI 1811360613 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · COLUMBIA, SC

Registration Details

NPI Number
1811360613
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2015 (10.80624047398 yrs)
Last Updated
Sep 28, 2020
License
19732 (SC)

Practice Information

Address
6439 GARNERS FERRY RD
COLUMBIA, SC, 292091638
Browse SC providers · Browse ZIP 29209
Phone
8037764000
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in COLUMBIA, SC

Name Credential NPI
MRS. PATRICIA MICHELE HEAD FNP-BC 1205822509
KIRSTEN ELIZABETH KASKO NP-C 1851574891
DR. NIKKI RACQUEL SMITH DNP, APRN, FNP-BC 1689939100
MS. JENNIFER O GILLIS NP-C 1407195688
MS. CRYSTAL E. SCOTT APRN 1831431931
ASHLEY DURRELL RN, FNP 1306189303
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.