MRS. NICOLE YVETTE MOORE FNP-C
NPI 1154587376
Nurse Practitioner - Family in Roswell, GA

Q: What is Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1154587376. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Q: What is Nicole Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2008

1400 HOLCOMB BRIDGE RD, ROSWELL, GA 30076(770) 587-8000 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Nicole Yvette Moore Fnp-c NPPES

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

MRS. NICOLE YVETTE MOORE FNP-C (NPI 1154587376) is an individual family provider in Roswell, Georgia, licensed in Georgia (RN132595) and active in the NPI registry since August 2008. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1154587376

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICOLE YVETTE MOORECredential: FNP-C

Location Address1400 HOLCOMB BRIDGE RDRoswell, GA 30076

Mailing Address2145 Liberty Bell PlLawrenceville, GA 30043-4929 · (404) 645-2883

Phone(770) 587-8000

Sole ProprietorYes

Enumeration DateAugust 7, 2008

Last NPPES UpdateAugust 2, 2019

✔ NPI 1154587376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN132595

1400 HOLCOMB BRIDGE RD, Roswell, GA 30076

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Secondary Practice Location 1

Location 1539 Hardee StDallas, GA 30132-4711 · Phone (770) 505-0531 · Fax (770) 505-0534

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS LINWOOD FARISS M.D.

Preventive Medicine (Occupational Medicine)

1400 HOLCOMB BRIDGE RD
ROSWELL, GA 30076

Fulton County (770) 587-7042

CHARLOTTE V KULKIN FNP

Nurse Practitioner (Family)

1400 HOLCOMB BRIDGE RD
ROSWELL, GA 30076

Fulton County (770) 587-7044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Moore's NPI number?

The NPI number for Nicole Moore is 1154587376. It was assigned to this individual provider in the NPPES registry on August 7, 2008.

Where is Nicole Moore located?

Nicole Moore practices at 1400 Holcomb Bridge Rd, Roswell, GA 30076. The listed phone number is (770) 587-8000.

What is Nicole Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Moore was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.