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Contact Information

JOSEPHINE MOORE, FNP-BC
11810 GRAND PARK AVE STE 500
NORTH BETHESDA, MD20852-8679
 Phone: 240-856-1393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Critical Care Medicine

363LC0200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOSEPHINE MOORE · (Female)

NPI # 1629340906
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/02/2012
Last updated 02/23/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • DC License # RN1012553
  • MD License # R180060
  • MI License # 4704316175
  • NM License # 02587
  • WA License # AP70003370
  • WI License # 6820
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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