Individual
DAWN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
308 HIGHLAND BLVD, NATCHEZ, MS 39120-4611
(601) 442-7676
(601) 442-9590
Mailing address
308 HIGHLAND BLVD, NATCHEZ, MS 39120-4611
(601) 442-7676
(601) 442-9590
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
207187
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
903433
MS
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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