Individual
MORGAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 SEVILLE WAY, MADISON, MS 39110-8170
(662) 207-0370
Mailing address
150 SEVILLE WAY, MADISON, MS 39110-8170
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
906722
MS
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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