Andrea Diane Moore, FNP-BC
NPI #1710645544 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1710645544
- Entity Type
- Individual
- Name
- Andrea Diane Moore, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Nov 29, 2021
- Last Updated
- Jan 9, 2026
Practice Location
- Address
- 425 E STATE ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-2125
- Phone
- (217) 408-1195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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