Individual provider · Type 1 NPI

Andrea Moore, FNP-BC

Family Nurse Practitioner · Jackson, MS

NPI number 1336742410 Active

Practice location

971 Lakeland Dr
Jackson, MS 39216-4643

Other practice locations

  • 401 Baptist Dr Ste 104, Madison, MS 39110-2010 · (601) 605-2383

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904214 (MS)
Nurse Practitioner 363L00000X904214 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1336742410

Andrea Moore, FNP-BC's National Provider Identifier is 1336742410, issued on Nov 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Mar 31, 2022.