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KYJANA DOMINIQUE MOORE LPN
NPI 1770110462
Licensed Practical Nurse in Sherwood, AR

Active since March 24, 2020
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120(501) 753-5459 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyjana Dominique Moore Lpn NPPES

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

KYJANA DOMINIQUE MOORE LPN (NPI 1770110462) is an individual licensed practical nurse in Sherwood, Arkansas, licensed in Arkansas (121607) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1770110462
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKYJANA DOMINIQUE MOORECredential: LPN
Location Address1540 COUNTRY CLUB RDSherwood, AR 72120-5095
Mailing Address1540 Country Club RdSherwood, AR 72120-5095 · (501) 753-5459
Phone(501) 753-5459
Sole ProprietorNo
Enumeration DateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
✔ NPI 1770110462 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 AR · 121607
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.
1540 COUNTRY CLUB RD, Sherwood, AR 72120
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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.

EMMA ELIZABETH JAMESON
Occupational Therapy Assistant
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
CAITLYN ELIZABETH BUCKMAN OTR/L
Occupational Therapist
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
SHUNTRAIL LESHA IRBY BT
Behavior Technician
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
BENJAMIN CHRISTIAN ESLICK BT
Behavior Technician
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
BAILEE LYNN MARTIN BCBA
Behavior Analyst
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
JADA RAE SIMS
Behavior Technician
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
SAMANTHA CHRISTIANE JULIE SIBE
Behavior Technician
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459
CRYSTAL CALHOUN
Behavior Technician
1540 COUNTRY CLUB RD
SHERWOOD, AR 72120
Pulaski County (501) 753-5459

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 Kyjana Moore's NPI number?

The NPI number for Kyjana Moore is 1770110462. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kyjana Moore located?

Kyjana Moore practices at 1540 Country Club Rd, Sherwood, AR 72120. The listed phone number is (501) 753-5459.

What is Kyjana 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 Kyjana Moore was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.