Individual
MS. CHAKILIA SHAREE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2506 LAKELAND DR STE 300, FLOWOOD, MS 39232-7640
(601) 326-2599
Mailing address
2506 LAKELAND DR STE 300, FLOWOOD, MS 39232-7640
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
903497
MS
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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