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NPI Code Detail

MEDICARE: ALEXA NICOLE MOORE FNP-BC

MEDICARE: ALEXA NICOLE MOORE FNP-BC
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 Practitioner5020833NC
2363L00000XNurse Practitioner5020833NC
3363LF0000XFamily Nurse Practitioner0024187422VA
4363LA2200XAdult Health Nurse Practitioner5020833NC
5363LP2300XPrimary Care Nurse Practitioner5020833NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NA1377AOTHERNCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25020833OTHERNCLICENSE

General Provider Information

NPI Number : 1912684432
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA NICOLE MOORE FNP-BC
Provider Business Mailing Address
First Line : 107 HYANNIS DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-8336
Country : US
Telephone Number : 919-363-8666
Fax Number :
Provider Business Practice Location Address
First Line : 107 HYANNIS DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-8336
Country : US
Telephone Number : 919-363-8666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2023
Last Update Date : 01/01/2026

Similar Medicare Providers

1457531790 — TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC
Practice Location Address:
107 HYANNIS DR
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Practice Fax: 919-363-8668
1881987691 — TRI-CITY FAMILY MEDICINE & URGENT CARE CLINIC, PLLC
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1730570631 — REBECCA E KNOPF FNP-C
Practice Location Address:
107 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
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1396298501 — KRISTEN GEYER FNP-BC
Practice Location Address:
107 HYANNIS DR
HOLLY SPRINGS, NC
27540-8336
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1740215342 — MR. ANDREW J READY D.P.T.
Practice Location Address:
111 HYANNIS DR
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27540-8336
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1275632945 — DR. CHAITANY R PATEL M.D.
Practice Location Address:
107 HYANNIS DR
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27540-8336
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Practice Fax: 919-363-8668

Directions to “ ALEXA NICOLE MOORE FNP-BC” Practice Location

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