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

Jennetta Shimell Moore, LPN

Individual provider Licensed Practical Nurse · NPI 1629678271

Jennetta Shimell Moore, LPN is a Licensed Practical Nurse in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

3215 Old Vineyard Rd
Winston Salem, NC 27103-1411
Phone: (336) 354-9047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 90648 (NC)

Record details

NPI number1629678271
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 31, 2020
Last updated in NPPESOctober 31, 2020
Certification dateOctober 31, 2020

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