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NPI Code Detail

MEDICARE: HAYLEY MOORE FNP-C

MEDICARE: HAYLEY MOORE FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner31770SC
2363LF0000XFamily Nurse PractitionerRN303240GA

General Provider Information

NPI Number : 1174345904
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY MOORE FNP-C
Provider Business Mailing Address
First Line : 1601 CUMMINS DR STE D
Second Line :
City : MODESTO
State : CA
Zip : 95358-6411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4700 WATERS AVE
Second Line :
City : SAVANNAH
State : GA
Zip : 31404-6220
Country : US
Telephone Number : 912-306-0311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2024
Last Update Date : 06/18/2026

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Directions to “ HAYLEY MOORE FNP-C” Practice Location

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