Haley Moore, PA-C

Physician Assistant · Anna, IL

Individual Active NPI

NPI number 1720701576

Practice location

513 N Main St
Anna, IL 62906-1697
Phone
(618) 833-4471
Fax
(618) 833-6267

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NPI record

NPI
1720701576
Entity type
Individual (Type 1)
Enumeration date
September 26, 2022
Last updated
November 13, 2023
Certified
November 13, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085009259 IL

Other practice locations (2)

  • 13245 Kessler Rd, Cairo, IL 62914-3101 · (618) 734-4400
  • 1340 Cedar Ct, Carbondale, IL 62901-5336 · (618) 457-7821

About Haley Moore

Haley Moore, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 513 N Main St, Anna, IL 62906-1697. The NPI number 1720701576 was assigned on September 26, 2022 and the record was last updated on November 13, 2023.

Haley Moore lists a license in the registry: #085009259 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Haley Moore, PA-C?

The NPI number is 1720701576.

What is the phone number of Haley Moore?

The phone number listed for the practice location is (618) 833-4471.

Where is Haley Moore located?

513 N Main St, Anna, IL 62906-1697.

What is the taxonomy code for Haley Moore?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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