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PENNIE JO MOORE LPN
NPI 1396919171
Licensed Practical Nurse in Stout, OH

Active since April 14, 2008
9813 US HIGHWAY 52, STOUT, OH 45684(740) 858-6085 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pennie Jo Moore Lpn NPPES

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

PENNIE JO MOORE LPN (NPI 1396919171) is an individual licensed practical nurse in Stout, Ohio, licensed in Ohio (PN109368) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1396919171
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePENNIE JO MOORECredential: LPN
Location Address9813 US HIGHWAY 52Stout, OH 45684-9066
Mailing Address9813 Us Highway 52Stout, OH 45684-9066 · (740) 858-6085
Phone(740) 858-6085
Sole ProprietorYes
Enumeration DateApril 14, 2008
✔ NPI 1396919171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN109368
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9813 US HIGHWAY 52, Stout, OH 45684
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Other Identifiers 1

Medicaid2309586OH

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 Pennie Moore's NPI number?

The NPI number for Pennie Moore is 1396919171. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Pennie Moore located?

Pennie Moore practices at 9813 Us Highway 52, Stout, OH 45684. The listed phone number is (740) 858-6085.

What is Pennie Moore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Pennie Moore was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.