GLENDA MOORE
NPI 1124508957
Licensed Vocational Nurse in Tyler, TX

Q: What is the provider's specialty?

The provider's specialty is Licensed Vocational Nurse with taxonomy code 164X00000X.

Active since August 21, 2018

9846 HWY 31 E, TYLER, TX 75705(903) 529-8001 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Glenda Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDA MOORE (NPI 1124508957) is an individual licensed vocational nurse in Tyler, Texas, licensed in Texas (128103) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1124508957

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameGLENDA MOORE

Location Address9846 HWY 31 ETyler, TX 75705-2329

Mailing Address9846 Hwy 31 ETyler, TX 75705-2329

Phone(903) 529-8001

Sole ProprietorNo

Enumeration DateAugust 21, 2018

✔ NPI 1124508957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 128103

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

9846 HWY 31 E, Tyler, TX 75705

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