Individual
MRS. MARY (MOLLY) MCCAFFERY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
Mailing address
2500 N STATE ST, SCHOOL OF NURSING, JACKSON, MS 39216-4500
(601) 984-6200
(601) 984-6214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R843526
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120621
—
MS
01
—
7206004
AETNA
MS
01
—
753068151
MS PHYSICIANS CARE NETWOR
MS
01
—
753068151001
TRICARE
MS
Enumeration date
03/14/2006
Last updated
05/07/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us