Individual
WHITNEY W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11700 HIGHWAY 57, VANCLEAVE, MS 39565-8309
(228) 826-1482
(228) 826-5924
Mailing address
14213 COOK RD BLDG A, BILOXI, MS 39532-9719
(228) 575-2545
(228) 872-8029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R866158
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07351098
—
MS
Enumeration date
05/19/2008
Last updated
06/12/2024
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