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MYESHA D MOORE LPN
NPI 1710570494
Licensed Practical Nurse in Athens, GA

Active since February 14, 2021

NPPES record last updated: February 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Myesha D Moore Lpn NPPES

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

MYESHA D MOORE LPN (NPI 1710570494) is an individual licensed practical nurse in Athens, Georgia, licensed in Florida (5241012) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1710570494
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMYESHA D MOORECredential: LPN
Location Address250 BRAY STAthens, GA 30601-2203
Mailing Address155 Meadow LnHull, GA 30646-3842 · (678) 598-5945
Phone(706) 389-6789
Sole ProprietorYes
Enumeration DateFebruary 14, 2021
NPPES CertifiedFebruary 14, 2021
✔ NPI 1710570494 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 FL · 5241012
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.
250 BRAY ST, Athens, GA 30601
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Other Providers at the Same Location NPPES 20

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

IRETA FAVORS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
250 BRAY ST
ATHENS, GA 30601
Clarke County (678) 215-4907
MS. DEBRA YVONNE HART LPN
Licensed Practical Nurse
250 BRAY ST
ATHENS, GA 30601
Clarke County (706) 389-6789
MS. BONNIE G ROCKER
Social Worker (Clinical)
250 BRAY ST
ATHENS, GA 30601
Clarke County (706) 389-6789
LANINA COBB-THOMPSON LAPC
Counselor (Professional)
250 BRAY ST
ATHENS, GA 30601
Clarke County (706) 389-6789
YATEMIESE SMART
Licensed Practical Nurse
250 BRAY ST
ATHENS, GA 30601
Clarke County (706) 389-6789
HANNAH FULLER
Registered Nurse
250 BRAY ST
ATHENS, GA 30601
Clarke County (855) 333-9544
JOSHUA HAMILTON RN
Registered Nurse (Psychiatric/Mental Health)
250 BRAY ST
ATHENS, GA 30601
Clarke County (706) 389-6789
JACQUELINE POTTIER RN
Registered Nurse
250 BRAY ST
ATHENS, GA 30601
Clarke County (706) 389-6789

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 Myesha Moore's NPI number?

The NPI number for Myesha Moore is 1710570494. It was assigned to this individual provider in the NPPES registry on February 14, 2021.

Where is Myesha Moore located?

Myesha Moore practices at 250 Bray St, Athens, GA 30601. The listed phone number is (706) 389-6789.

What is Myesha 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 Myesha Moore was last updated on February 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.