John Wayne Moore, CRNP

Individual provider Nurse Practitioner · NPI 1518200864

John Wayne Moore, CRNP is a Nurse Practitioner in Valley Head, Alabama. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Alabama.

Years since qualifying: 14
Licensed in: AL
In the registry since: 2013

What do these letters mean?

CRNP — Certified Registered Nurse Practitioner: The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

136 Commerce Ave
Valley Head, AL 35989-2421
Phone: (256) 674-1052
Fax: (256) 674-1054

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

Specialties & licences

Nurse Practitioner (primary)	Taxonomy 363L00000X · Licence 1-087639 (AL)

Record details

NPI number	1518200864
Entity type	Individual (Type 1)
Gender	Male
Credentials	CRNP
Sole proprietor	No
NPI enumerated	April 4, 2013
Last updated in NPPES	April 21, 2023
Certification date	April 17, 2023
Mailing address	136 Commerce Ave, Valley Head, AL 35989-2421

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2012 (14 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount