IndividualActive
Kathryn Moore, RN, APRN-BC
NPI 1336389980 · Critical Care Medicine Nurse Practitioner · Tucker, GA
Provider details
- NPI number
- 1336389980
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, APRN-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN171792 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2349 Crestcliff Dr
Tucker, GA 30084-4206
Phone: (404) 558-1129
Approximate (ZIP-level) locationGet directions
Mailing address
2349 Crestcliff Dr
Tucker, GA 30084-4206
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2018-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.