Individual provider · Type 1 NPI

Misty Moore Ivy, C.R.N.P.

Family Nurse Practitioner · Olive Branch, MS

NPI number 1063465482 Active

About NPI 1063465482

Misty Moore Ivy, C.R.N.P.'s National Provider Identifier is 1063465482, issued on May 18, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olive Branch, MS. The record was last updated on Jun 20, 2024.