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Kelly
Kelly
Moore
Dental radiographer
Nurse practitioner
Tampa,
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Florida Board of Medicine
Board Name
BOARD OF DENTISTRY
Full name
Kelly Moore
Job Title
Dental Radiographer
License Number
DR12858
License Status
Clear
License Issue Date
20/12/1993
Source Type
Professional Profile
Florida Health Care Practitioner Data Portal
Full name
KELLY Moore
Job Title
Advanced Practice Registered Nurse
Location
Tampa, FL, USA
LIC ID
456475
Current License Expiration Date
31/07/2024
Original Date
11/10/2012
Professional Rank Code
APRN
Effective Date
11/10/2012
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PINELLAS
Mailing Address Line 2
Unit 43
Practice Location Address Line 1
220 N. Howard Ave.
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33606
Mode Code
Nurse Practitioner
Prescribing Indicator
N
Florida Health Source
Full name
Kelly Moore
Job Title
Advanced Practice Registered Nurse
Location
33606, Tampa, FL, USA
License Status
CLEAR/ACTIVE
Year Began Practicing
01/10/2010
Other State Licenses State
INDIANA
Other State Licenses Profession
RN
Speciality Board
AMERICAN ACADEMY OF NURSE PRACTITIONERS
Certification
FAMILY NURSE PRACTITIONER
License Expiry Date
31/07/2024
Memberships
This practitioner has not indicated any committees on which they serve for any health entity with which they are affiliated.
Affiliations
This practitioner has not provided any national, state, local, county, or professional affiliations.
Board
BOARD OF NURSING
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