Individual provider · Type 1 NPI

Chermal Rondell Moore, NURSE PRACTITIONER

Nurse Practitioner · Philadelphia, MS

NPI number 1649745241 Active

Practice location

1017 W Beacon St
Philadelphia, MS 39350-3218

Call (769) 200-0730 Map

Mailing address

2240 Tallabogue Rd
Forest, MS 39074-8592

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	902980 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649745241

Chermal Rondell Moore, NURSE PRACTITIONER's National Provider Identifier is 1649745241, issued on Oct 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, MS. The record was last updated on Oct 10, 2018.