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

Harley Nicole Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215567722

Harley Nicole Moore is a Student in an Organized Health Care Education/Training Program in Decatur, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

710 14th Ave SE
Decatur, AL 35601-3314
Phone: (256) 341-7162
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence S12707 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215567722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 23, 2020
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address710 14th Ave Se, Decatur, AL 35601-3314

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