MRS. JESSICA HAVARD MORAN FNP-BC NPI 1386883791

NPI Information

NPI: 1386883791
Provider Name: MRS. JESSICA HAVARD MORAN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEMORIAL HOSPITAL AT GULFPORT

PECOS Registration: Yes

Address:
1759 MEDICAL PARK DR
BILOXI, MS
ZIP 39532
Phone: (228) 822-6030
Get Directions

MRS. Jessica Havard Moran, FNP-BC is a family nurse practitioner in Biloxi, MS with 16 years of experience. MRS. Jessica Havard Moran, FNP-BC NPI is 1386883791. 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:

1759 MEDICAL PARK DR
BILOXI, MS
ZIP 39532-154
Phone: (228) 822-6030
Fax: (228) 385-0073

The NPI 1386883791 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 2/9/2009 and was last updated on 3/3/2020.

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	R871245	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	08821006	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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