Individual
DEVI DOVE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 329-3808
(662) 329-3873
Mailing address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 329-3808
(662) 329-3873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904108
MS
Other
Enumeration date
08/27/2020
Last updated
07/23/2026
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