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

Mrs. Nicole Lynn Moore, CRNP

Individual provider Family Nurse Practitioner · NPI 1780021436

Mrs. Nicole Lynn Moore, CRNP is a Family Nurse Practitioner in Jacksonville, Florida. Licensed in Colorado, Florida and Maryland. Registered with an NPI since 2013.

Licensed in
CO, FL, MD
In the registry since
2013
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4475 San Juan Ave
Jacksonville, FL 32210-3357
Phone: (615) 425-4258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11009416 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R179324 (MD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0993089 (CO)

Record details

NPI number1780021436
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 3, 2013
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

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