Individual provider · Type 1 NPI
Brandi Latrece Moore, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
NPI number
1336817238
Active
Practice location
824B N Gloster St
Tupelo, MS 38804-1949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 904681 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336817238
Brandi Latrece Moore, PMHNP-BC's National Provider Identifier is 1336817238, issued on Sep 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tupelo, MS. The record was last updated on Sep 3, 2021.