MRS. MARY (MOLLY) MCCAFFERY MOORE FNP-BC NPI 1063481034

NPI Information

NPI: 1063481034
Provider Name: MRS. MARY (MOLLY) MCCAFFERY MOORE, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-6270
Get Directions

MRS. Mary (molly) Mccaffery Moore, FNP-BC is a family nurse practitioner in Jackson, MS. MRS. Mary (molly) Mccaffery Moore, FNP-BC NPI is 1063481034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-6270

The NPI 1063481034 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 5/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R843526	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00120621	MEDICAID	MISSISSIPPI
2	404901YS8T	MEDICARE PIN	MISSISSIPPI
3	753068151	OTHER	MISSISSIPPI	MS PHYSICIANS CARE NETWOR
4	753068151001	OTHER	MISSISSIPPI	TRICARE
5	7206004	OTHER	MISSISSIPPI	AETNA
6	753068151	OTHER	MISSISSIPPI	MS HEALTH PARTNERS
7	S73763	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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