Individual
MRS. DEBORAH B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2006 ROBERTSON ST, CORINTH, MS 38834-3720
(662) 665-0006
(662) 665-9151
Mailing address
PO BOX 1584, CORINTH, MS 38835-1584
(662) 665-0006
(662) 665-9151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R568031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119995
—
MS
Enumeration date
11/28/2006
Last updated
02/12/2013
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