Organization
CASIE MOORE PMHNP-BC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASIE MOORE (OWNER)
(573) 391-0499
Entity
Organization
Contact information
Practice address
2701 S CARAWAY RD STE B1, JONESBORO, AR 72401-7336
(573) 391-0499
Mailing address
2701 S CARAWAY RD STE B1, JONESBORO, AR 72401-7336
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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