Ebony Moore, LPN is a
Licensed Practical Nurse based in Ft. Sill, Oklahoma. Ebony Moore is licensed to practice in Oklahoma (license number 0038603) and her current practice location is
4301 Wilson St, Ft. Sill, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 558-2662.
NPI number for Ebony Moore is 1548610009 and her current mailing address is 4824 Nw Hoover Ave, Lawton, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548610009.
Provider's Profile
Full Name | Ebony Moore |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 4301 Wilson St, Ft. Sill, Oklahoma |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548610009
- Provider Enumeration Date: 06/15/2016
- Last Update Date: 06/15/2016
Medical Identifiers
Medical identifiers for Ebony Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548610009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 0038603 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ebony Moore, LPN 4824 Nw Hoover Ave, Lawton, OK 73505-1631 Ph: (910) 670-8980 | Ebony Moore, LPN 4301 Wilson St, Ft. Sill, OK 73503 Ph: (580) 558-2662 |
Reviews and Comments