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

Shawnissa Moore

Individual provider Licensed Practical Nurse · NPI 1922627363

Shawnissa Moore is a Licensed Practical Nurse in Farmington Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone: (248) 299-0030
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 4703122758 (MI)

Record details

NPI number1922627363
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020

Other providers in Farmington Hills