Individual
CALLIE MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4568 STONE CROSS DR, OLIVE BRANCH, MS 38654-8443
(901) 652-2142
Mailing address
4568 STONE CROSS DR, OLIVE BRANCH, MS 38654-8443
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R880261
MS
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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