Moore, Gerri L

Moore, Gerri L is an individual health care provider with primary practice located at 340 Starlite Dr , Henderson KY 42420-6102. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moore, Gerri L can be contacted via phone (270) 844-8515.

Contact Information

Primary practice address
340 Starlite Dr Henderson KY 42420-6102
Phone: (270) 844-8515
Fax: (270) 844-8183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3005741 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006183A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005741 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005741 Kentucky

Profile Details

NPI number 1235379215
LBN Legal business name Moore, Gerri L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Oct 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235379215 NPPES
Kentucky MEDICAID 7100075040

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