MS. Shaunte Moore, CPNP-PC
MS. Shaunte Moore, CPNP-PC is a Pediatric Nurse Practitioner in O Fallon, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2017.
- Licensed in
- IL, MO
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
604 Pierce BlvdO Fallon, IL 62269-2588
Phone: (618) 222-9244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 209015873 (IL) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence 2017000683 (MO) |
Record details
| NPI number | 1558898510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPNP-PC |
| Sole proprietor | No |
| NPI enumerated | May 20, 2017 |
| Last updated in NPPES | May 20, 2017 |