Mrs. Melanie Dawn Moore
NP | Nurse Practitioner - Adult Health
120 Executive Park, Louisville
Kentucky, 40207-4201
502-855-7200
Mrs. Melanie Dawn Moore is a Louisville, Kentucky based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mrs. Melanie Dawn Moore is 3007505 for Adult Health in Kentucky. Her current practice location is 120 Executive Park, Louisville. Patients can reach her at 502-855-7200 or can fax her at 502-855-7201. Mrs. Melanie Dawn Moore is NP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1205187861.
Mrs. Melanie Dawn Moore can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mrs. Melanie Dawn Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Melanie Dawn Moore |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 120 Executive Park, Louisville,
Kentucky, 40207-4201 |
| Phone: | 502-855-7200 |
| Fax: | 502-855-7201 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1205187861 |
| NPI Enumeration Date: | 24 Sep, 2012 |
| NPI Last Update On: | 28 Oct, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Melanie Dawn Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 3007505 | Adult Health | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Melanie Dawn Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 300035632 | Medicaid | Indiana | |
| 7100654320 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Melanie Dawn Moore
223 Executive Park,
Louisville, Kentucky |
| Zip: | 40207-4202 |
| Phone Number: | 502-907-0356 |
Patients can reach Mrs. Melanie Dawn Moore at
120 Executive Park, Louisville, Kentucky or can
call to book an appointment on 502-855-7200.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.