RAVEN MOORE, AGNP-C

Nurse Practitioner

Active Individual
NPI: 1568041168

Practice Address

6175 NEWTON DR NE
Covington, GA 30014

Phone: (678) 342-6000

Specialties

Specialty Code Primary License
Registered Nurse - School 163WS0200X No RN277339 (GA)
Nurse Practitioner - Adult Health 363LA2200X No RN277339 (GA)
Nurse Practitioner - Gerontology 363LG0600X No RN277339 (GA)
Nurse Practitioner - Primary Care 363LP2300X No RN277339 (GA)
Nurse Practitioner 363L00000X Yes RN277339 (GA)

Frequently Asked Questions

NPI 1568041168 is the National Provider Identifier for RAVEN MOORE, AGNP-C, a Nurse Practitioner provider located in Covington, GA. This NPI was enumerated on April 2, 2021.
RAVEN MOORE, AGNP-C practices at 6175 NEWTON DR NE, Covington, GA 30014.

Quick Facts

NPI
1568041168
Type
Individual
Enumerated
Apr 2, 2021
Last Updated
Mar 18, 2024

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