Individual provider · Type 1 NPI

Aqueelah Moore, LPN

Licensed Practical Nurse · Gulfport, MS

NPI number 1285495978 Active

Practice location

15120 County Barn Rd
Gulfport, MS 39503-4263

Call (228) 213-5900 Map

Fax (228) 575-6295

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X320735 (MS)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

19 other providers at this address

Other licensed practical nurse providers in Gulfport

See all in Gulfport →

About NPI 1285495978

Aqueelah Moore, LPN's National Provider Identifier is 1285495978, issued on Jan 19, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gulfport, MS. The record was last updated on Jan 19, 2024.