Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clintonary Moore

Individual provider Licensed Practical Nurse · NPI 1861854911

Clintonary Moore is a Licensed Practical Nurse in Grand Blanc, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

5428 Country Club Ln
Grand Blanc, MI 48439-9179
Phone: (810) 308-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703091879 (MI)

Record details

NPI number1861854911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2016
Last updated in NPPESMarch 27, 2016
Mailing address5428 Country Club Ln, Grand Blanc, MI 48439-9179

Other providers in Grand Blanc