Individual provider · Type 1 NPI
Ellen Peyton Moore, DNP, APRN, AGPCNP-BC
Adult Health Nurse Practitioner · Madison, MS
NPI number
1639615768
Active
Practice location
122 Weisenberger Rd
Madison, MS 39110-7993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 901499 (MS) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other adult health nurse practitioner providers in Madison
About NPI 1639615768
Ellen Peyton Moore, DNP, APRN, AGPCNP-BC's National Provider Identifier is 1639615768, issued on Jan 12, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Madison, MS. The record was last updated on Jan 12, 2017.