Individual provider · Type 1 NPI

Terrica Moore, DNP, CPNP-PC

Pediatric Nurse Practitioner · Southaven, MS

NPI number 1114508488 Active

Practice location

3674 Goodman Rd E
Southaven, MS 38672-6402

Mailing address

6919 Lagrange Pines Rd
Cordova, TN 38018-2857

Other practice locations

  • 103 Halls Cv, Senatobia, MS 38668-6620 · (662) 562-9003

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X202019164 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114508488

Terrica Moore, DNP, CPNP-PC's National Provider Identifier is 1114508488, issued on Apr 19, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Southaven, MS. The record was last updated on Apr 19, 2021.