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

Dr. Mallory Moore, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1972152197

Dr. Mallory Moore, DNP, FNP-BC is a Nurse Practitioner in New Bern, North Carolina. Qualified in 2022, 4 years ago. Practices with Coastal Carolina Health Care PA, a 122-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2019
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone: (252) 638-4023
Fax: (252) 633-2833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5015120 (NC)

Record details

NPI number1972152197
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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 Coastal Carolina Health Care Pa — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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