Individual provider · Type 1 NPI
Mary Sue Moore, PMHNP
Family Nurse Practitioner · Port St. Joe, FL
NPI number
1508221284
Active
Practice location
401 Cecil G Costin Sr Blvd
Port St. Joe, FL 32456-1928
Mailing address
11523 SW Mcclellan Farm Rd
Clarksville, FL 32430-3043
Other practice locations
- 20370 NE Burns Ave, Blountstown, FL 32424-1045 · (850) 674-5411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN9162481 (FL) |
| Registered Nurse | 163W00000X | RN9162481 (FL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9162481 (FL) |
Family Nurse Practitioner: Definition to come...
6 other providers at this address
- Pancare of Florida, IncCommunity/Retail Pharmacy Port St. Joe, FL NPI 1326872060
- Pancare of Florida, IncFederally Qualified Health Center (FQHC) Port St. Joe, FL NPI 1528871498
- Pancare of Florida, IncFederally Qualified Health Center (FQHC) Port St. Joe, FL NPI 1609689504
- Efren Carbonell, MDGeneral Practice Physician Port St. Joe, FL NPI 1558307835
- Eric Haynam, D.D.SGeneral Practice Dentistry Port St. Joe, FL NPI 1043688831
- Janel Denise Zimmerman, LMSWClinical Social Worker Port St. Joe, FL NPI 1043568637
Other family nurse practitioner providers in Port St. Joe
- Nancy Phipps Anderson, CRNPFamily Nurse Practitioner Port St. Joe, FL NPI 1043228497
- Christian Laine Cox, APRNFamily Nurse Practitioner Port St. Joe, FL NPI 1104671858
- Monica Barfield, ARNPFamily Nurse Practitioner Port St. Joe, FL NPI 1225538390
- Patricia A. Hammonds, ARNPFamily Nurse Practitioner Port St. Joe, FL NPI 1235419094
- Brittany Jade Beauchamp, APRNFamily Nurse Practitioner Port St. Joe, FL NPI 1285883918
- Patricia J. Mitchell, APRN, FNP-CFamily Nurse Practitioner Port St. Joe, FL NPI 1477815488
- Braden J. Shaffer, APNFamily Nurse Practitioner Port St. Joe, FL NPI 1679030852
- Dolores Ann Conroy, ARNPFamily Nurse Practitioner Port St. Joe, FL NPI 1689618274
About NPI 1508221284
Mary Sue Moore, PMHNP's National Provider Identifier is 1508221284, issued on Dec 22, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port St. Joe, FL. The record was last updated on May 19, 2026.