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

Tracy Rene Moore, LPN, CSFA

Individual provider Licensed Practical Nurse · NPI 1033982053

Tracy Rene Moore, LPN, CSFA is a Licensed Practical Nurse in Shiloh, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1404 Cross St
Shiloh, IL 62269-2988
Phone: (618) 607-1000
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 043116387 (IL)

Record details

NPI number1033982053
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN , CSFA
Sole proprietorNo
NPI enumeratedNovember 1, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023