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

Dominique Moore, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063294205

Dominique Moore, NP is a Nurse Practitioner in Ashland, Virginia. Qualified in 2023, 3 years ago. Practices with Hanover County Board of Supervisors, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

12300 Washington Hwy
Ashland, VA 23005-7646
Phone: (804) 897-9355
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024188517 (VA)

Record details

NPI number1063294205
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 20, 2023
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address12300 Washington Hwy, Ashland, VA 23005-7646

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Hanover County Board Of Supervisors — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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