Individual
MOLLIE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1850 BYPASS RD, WINCHESTER, KY 40391-2300
(859) 744-5111
(859) 744-1177
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 744-1177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4012697
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100963960
—
KY
Enumeration date
01/24/2024
Last updated
01/12/2026
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