ELLEN PEYTON MOORE DNP APRN AGPCNP-BC NPI 1639615768

NPI Information

NPI: 1639615768
Provider Name: ELLEN PEYTON MOORE, DNP, APRN, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
122 WEISENBERGER RD
MADISON, MS
ZIP 39110
Phone: (601) 790-9098
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Ellen Peyton Moore, DNP, APRN, AGPCNP-BC is an adult health nurse practitioner in Madison, MS. Ellen Peyton Moore, DNP, APRN, AGPCNP-BC NPI is 1639615768. 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:

122 WEISENBERGER RD
MADISON, MS
ZIP 39110-993
Phone: (601) 790-9098

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.

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	363LA2200X	Nurse Practitioner	Adult Health	901499	MISSISSIPPI	Yes

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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