Individual
MS. RITA JENKINS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 BUCKEYE COVE RD, CANTON, NC 28716-4511
(828) 648-0282
(828) 648-3479
Mailing address
55 BUCKEYE COVE RD, CANTON, NC 28716-4511
(828) 648-0282
(828) 648-3479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201666
NC
363LF0000X
Family Nurse Practitioner
201666
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173PU
BCBS
NC
05
—
7003980
—
NC
Enumeration date
10/17/2006
Last updated
08/30/2022
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