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

Mark Benton Moore, ARNP

Individual provider Pediatric Nurse Practitioner · NPI 1205948981

Mark Benton Moore, ARNP is a Pediatric Nurse Practitioner in Charlotte, North Carolina. Licensed in Florida, North Carolina and Tennessee. Registered with an NPI since 2006.

Licensed in
FL, NC, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-4772
Fax: (704) 355-6227
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 9700154 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 18527 (TN)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence ARNP 9219935 (FL)

Record details

NPI number1205948981
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

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