# DAWN MOSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003468786
- **Gender:** F
- **Credential:** PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 207187 | LA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 903433 | MS | Yes |

## Other

- **Enumeration date:** 07/12/2019
- **Last updated:** 07/12/2019