Individual
MS. ERICA COURTNEY MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1201 HIGHWAY 49 S STE 1, RICHLAND, MS 39218-9438
(601) 664-0055
Mailing address
92 BELLEGRASS BLVD, HATTIESBURG, MS 39402-1904
(601) 421-1588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905177
MS
363LF0000X
Family Nurse Practitioner
A03285
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199750758
—
AR
01
—
A003285
APN LICENSE
AR
Enumeration date
08/18/2009
Last updated
11/27/2023
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