Individual
SHARRON SHONET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1504 HOSPITAL ST, GREENVILLE, MS 38703-3219
(662) 378-9929
Mailing address
1501 E REED RD APT 8E, GREENVILLE, MS 38703-7252
(662) 822-9309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903671
MS
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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