Individual
JOAN M MOSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7456 NAVARRE PKWY, NAVARRE, FL 32566-8192
(850) 626-5459
Mailing address
361 KEPNER DR NE, FORT WALTON BEACH, FL 32548-5144
(850) 428-1623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9311885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012383100
—
FL
Enumeration date
06/24/2014
Last updated
06/07/2023
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