NPI 1275128753

Danielle Leandrea Moore, LPN

Practitioner Licensed Practical Nurse Stone Mountain, GA

Practice location

Address: 1491 Hidden Hills Pkwy, Stone Mountain, GA 30088-3120
Phone: (703) 861-9358
Fax: (770) 695-0282

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN072524 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1275128753
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2021
Record last updated: 5 Mar 2021

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.