Individual
RHONDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
24345 HIGHWAY 15, UNION, MS 39365-8575
(601) 774-8211
(601) 774-8589
Mailing address
24345 HIGHWAY 15, UNION, MS 39365-8575
(601) 747-8211
(601) 774-8321
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R871925
MS
Other
Enumeration date
11/04/2016
Last updated
06/10/2024
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