Individual
MELISSA VICTORIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1025 DIVISION ST STE B, BILOXI, MS 39530-2910
(228) 388-2599
Mailing address
1025 DIVISION ST STE B, BILOXI, MS 39530-2910
(228) 388-2599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902644
MS
Other
Enumeration date
05/02/2018
Last updated
03/05/2020
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