NPI 1013707413

Nicol Moore

Practitioner Community Health Worker Springfield, IL

Practice location

Address: 401 N Walnut St, Springfield, IL 62702-5033
Phone: (217) 801-7295

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Illinois →

Registry record

NPI: 1013707413
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2025
Record last updated: 8 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.