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

Susan John Moore, FNP

Individual provider Gerontology Nurse Practitioner · NPI 1134400864

Susan John Moore, FNP is a Gerontology Nurse Practitioner in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3118 S Lafountain Indiana Health Center - Kokomo
Kokomo, IN 46902-3710
Phone: (765) 864-4160
Fax: (765) 864-4166
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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 71003756A (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 71003756A (IN)

Record details

NPI number1134400864
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address8003 Castleway Dr, Indianapolis, IN 46250-1946

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