Individual
MARY CHRISTINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1626 HIGHWAY 30 E, OXFORD, MS 38655
(662) 371-1326
(662) 371-1325
Mailing address
PO BOX 1158, OXFORD, MS 38655-1158
(662) 371-1326
(662) 371-1325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN0000017955
TN
363LF0000X
Family Nurse Practitioner
Primary
R883220
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000017955
ADVANCED PRACTICE NURSE
TN
01
—
F0612635
FAMILY NURSE PRACTITIONER
—
01
—
R883220
NURSING LICENSE NUMBER
MS
01
—
RN0000196837
RN
—
Enumeration date
10/22/2012
Last updated
09/20/2023
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