Individual provider · Type 1 NPI

Shannon L. Moffett, NP

Acute Care Nurse Practitioner · Jackson, MS

NPI number 1174606289 Active

Practice location

2500 North State Street, Department Of Medicine Division Of Pulmonary
Jackson, MS 39216-4505

Call (601) 984-5650 Map

Fax (601) 984-5658

Mailing address

2500 N State St, Division Of Pulmonary
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	R857161 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1174606289

Shannon L. Moffett, NP's National Provider Identifier is 1174606289, issued on Oct 23, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Jun 29, 2016.