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

Shannon Moore

Individual provider Licensed Practical Nurse · NPI 1992406599

Shannon Moore is a Licensed Practical Nurse in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5419 Edwards Plantation Dr
Columbus, OH 43221-5682
Phone: (330) 407-3700
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Licensed Practical Nurse Taxonomy 164W00000X · Licence 140688 (OH)

Record details

NPI number1992406599
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 13, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address5419 Edwards Plantation Dr, Columbus, OH 43221-5682

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