Individual provider · Type 1 NPI

Regan Watson Moore, FNP

Nurse Practitioner · Pontotoc, MS

NPI number 1134034762 Active

Practice location

109 Highway 15 S
Pontotoc, MS 38863-2628

Call (662) 509-9934 Map

Other practice locations

422A E President Ave, Tupelo, MS 38801-5500 · (662) 260-5104

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	908705 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

10 other providers at this address

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About NPI 1134034762

Regan Watson Moore, FNP's National Provider Identifier is 1134034762, issued on Aug 18, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pontotoc, MS. The record was last updated on Aug 19, 2026.