Individual
PAMELA TERESA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/NNP-BC, RN
Contact information
Practice address
1551 E COUNTY LINE RD, JACKSON, MS 39211-1801
(601) 957-7345
(601) 957-7344
Mailing address
PO BOX 320039, FLOWOOD, MS 39232-0039
(601) 957-7345
(601) 957-7344
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP06306
LA
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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