MRS. HOLLI LYNN MOONEY NP-C NPI 1720593957

NPI Information

NPI: 1720593957
Provider Name: MRS. HOLLI LYNN MOONEY, NP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: PANCARE OF FLORIDA, INC

PECOS Registration: Yes

Address:
4126 INDEPENDENT DR
MARIANNA, FL
ZIP 32448
Phone: (850) 394-4907
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MRS. Holli Lynn Mooney, NP-C is a primary care nurse practitioner in Marianna, FL with 7 years of experience. MRS. Holli Lynn Mooney, NP-C NPI is 1720593957. 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:

4126 INDEPENDENT DR
MARIANNA, FL
ZIP 32448-023
Phone: (850) 394-4907
Fax: (850) 394-4981

The NPI 1720593957 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 12/11/2017 and was last updated on 8/3/2021.

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	363LP2300X	Nurse Practitioner	Primary Care	9308907	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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