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

Gwendolyn Felicia Waller-Moore, FNP

Individual provider Family Nurse Practitioner · NPI 1720770092

Gwendolyn Felicia Waller-Moore, FNP is a Family Nurse Practitioner in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

245 Madison Ave
Memphis, TN 38103-2731
Phone: (901) 519-2380
Fax: (901) 664-0619
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 33982 (TN)

Record details

NPI number1720770092
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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