Individual provider · Type 1 NPI

Whitney Jolly Moose, FNP

Family Nurse Practitioner · Statesville, NC

NPI number 1366892432 Active

Practice location

208 Old Mocksville Rd
Statesville, NC 28625-1953

Fax (704) 924-5360

Mailing address

PO Box 1845
Statesville, NC 28687-1845

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5008642 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1366892432

Whitney Jolly Moose, FNP's National Provider Identifier is 1366892432, issued on Jun 20, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Statesville, NC. The record was last updated on Aug 15, 2023.