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

Deanna Shatrice Moore

Individual provider Family Nurse Practitioner · NPI 1124726526

Deanna Shatrice Moore is a Nurse Practitioner in Elizabethtown, North Carolina. Qualified in 2022, 4 years ago. Practices with Bladen Healthcare LLC, a 41-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1328 W Broad St
Elizabethtown, NC 28337
Phone: (910) 828-1119
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (4)

  • 501 S Poplar St, Elizabethtown, NC 28337-9375 — (910) 862-5100
  • 107 E Dunham St, Elizabethtown, NC 28337-4300 — (910) 862-2122
  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 862-2122
  • 6201 Raeford Rd, Fayetteville, NC 28304-2425 — (910) 609-3780

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5017759 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence MOORE-38S85 (NC)

Record details

NPI number1124726526
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 16, 2023
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bladen Healthcare Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elizabethtown