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NPI Profile for JOEL MOORE in PEORIA, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1821811407 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 11/04/2024 | |
| Last updated | 05/31/2026 - Less than a week ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOEL MOORE
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JOEL MOORE, RN