JULIANNE MARY MOORE APRN
NPI 1366113409
Nurse Practitioner - Gerontology in Valparaiso, IN

Active since September 27, 2021
4711 EVANS AVE, VALPARAISO, IN 46383(888) 602-9004 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Julianne Mary Moore Aprn NPPES

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

JULIANNE MARY MOORE APRN (NPI 1366113409) is an individual gerontology provider in Valparaiso, Indiana, licensed in Indiana (28136866A) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1366113409
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJULIANNE MARY MOORECredential: APRN
Location Address4711 EVANS AVEValparaiso, IN 46383-8325
Mailing Address14 E 700 NValparaiso, IN 46383-8901 · (219) 628-0613
Sole ProprietorYes
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1366113409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IN · 28136866A
4711 EVANS AVE, Valparaiso, IN 46383

Other Providers at the Same Location NPPES 3

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

Registered Nurse (Hospice)
4711 EVANS AVE
VALPARAISO, IN 46383
Hospice Care, Community Based
4711 EVANS AVE
VALPARAISO, IN 46383
Nurse Practitioner (Family)
4711 EVANS AVE
VALPARAISO, IN 46383

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 Julianne Moore's NPI number?

The NPI number for Julianne Moore is 1366113409. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Julianne Moore located?

Julianne Moore practices at 4711 Evans Ave, Valparaiso, IN 46383. The listed phone number is (888) 602-9004.

What is Julianne Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Julianne Moore was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.