Individual provider · Type 1 NPI
Kelsey-Jo Audrey Moss, CPNP-PC
Pediatric Nurse Practitioner · Portland, OR
NPI number
1477197705
Active
Practice location
704B NE 62nd Ave
Portland, OR 97213-4351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 201907307NP-PP (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477197705
Kelsey-Jo Audrey Moss, CPNP-PC's National Provider Identifier is 1477197705, issued on Oct 30, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Oct 30, 2019.