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

Kelly Marie Moore, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1649049305

Kelly Marie Moore, FNP-BC is a Family Nurse Practitioner in San Bernardino, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

625 Carnegie Dr Ste 120
San Bernardino, CA 92408-3577
Phone: (909) 383-2800
Fax: (909) 880-0439
Show map & directions

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

Additional practice locations (1)

  • 5120 Woodley Ave, Encino, CA 91436-1443 — (628) 432-7476

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95028281 (CA)

Record details

NPI number1649049305
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 22, 2023
Last updated in NPPESFebruary 14, 2026
Certification dateFebruary 14, 2026

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