CLINTONARY MOORE
NPI 1861854911
Licensed Practical Nurse in Grand Blanc, MI

Q: What is Clintonary Moore's NPI number?

The NPI number for Clintonary Moore is 1861854911. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Q: What is Clintonary Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clintonary Moore was last updated on March 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 27, 2016

5428 COUNTRY CLUB LN, GRAND BLANC, MI 48439(810) 308-1056 Get Directions Write a Review

NPPES record last updated: March 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clintonary Moore NPPES

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

CLINTONARY MOORE (NPI 1861854911) is an individual licensed practical nurse in Grand Blanc, Michigan, licensed in Michigan (4703091879) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1861854911

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCLINTONARY MOORE

Location Address5428 COUNTRY CLUB LNGrand Blanc, MI 48439-9179

Mailing Address5428 Country Club LnGrand Blanc, MI 48439-9179 · (810) 308-1056

Phone(810) 308-1056

Sole ProprietorNo

Enumeration DateMarch 27, 2016

✔ NPI 1861854911 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 MI · 4703091879

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.

5428 COUNTRY CLUB LN, Grand Blanc, MI 48439

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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 Clintonary Moore's NPI number?

The NPI number for Clintonary Moore is 1861854911. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Clintonary Moore located?

Clintonary Moore practices at 5428 Country Club Ln, Grand Blanc, MI 48439. The listed phone number is (810) 308-1056.

What is Clintonary 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 Clintonary Moore was last updated on March 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.