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

Shantell Moore

Individual provider Licensed Practical Nurse · NPI 1336975036

Shantell Moore is a Licensed Practical Nurse in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

4400 N Lincoln Blvd
Oklahoma City, OK 73105-5108
Phone: (405) 424-7711
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 213326 (OK)

Record details

NPI number1336975036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

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