Susan John Moore
F.N.P. | Nurse Practitioner - Gerontology
3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo
Indiana, 46902-3710
765-864-4160
Susan John Moore is a Kokomo, Indiana based nurse practitioner who is specialized as Gerontology nurse. Active license number of Susan John Moore is 71003756A for Family in Indiana. Her current practice location is 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo. Patients can reach her at 765-864-4160 or can fax her at 765-864-4166. Susan John Moore is F.N.P. with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1134400864.
Susan John Moore is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Susan John 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: | Susan John Moore |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | F.N.P. |
| Practice Address: | 3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo,
Indiana, 46902-3710 |
| Phone: | 765-864-4160 |
| Fax: | 765-864-4166 |
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: | 1134400864 |
| NPI Enumeration Date: | 08 Sep, 2011 |
| NPI Last Update On: | 24 Jan, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan John Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 71003756A | Family | Indiana | Primary | |
| 71003756A | Gerontology | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan John Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100071250A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susan John Moore
8003 Castleway Dr,
Indianapolis, Indiana |
| Zip: | 46250-1946 |
| Phone Number: | 317-576-1335 |
| Fax Number: | 317-343-6562 |
Patients can reach Susan John Moore at
3118 South Lafountain, Indiana Health Center - Kokomo, Kokomo, Indiana or can
call to book an appointment on 765-864-4160.
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.