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

Mrs. Leslie Carol Moore, CRNPFNP

Individual provider Primary Care Nurse Practitioner · NPI 1912424474

Mrs. Leslie Carol Moore, CRNPFNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2014, 12 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2017
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Practice location Address checks out

1800 Lombard St
Philadelphia, PA 19146-1414
Phone: (215) 893-7310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP014903 (PA)

Record details

NPI number1912424474
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNPFNP
Sole proprietorYes
NPI enumeratedAugust 25, 2017
Last updated in NPPESAugust 25, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Philadelphia