Individual provider · Type 1 NPI
Hollie Dulaney Moffatt, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tupelo, MS
NPI number
1962013664
Active
Practice location
315 Magazine St Ste C
Tupelo, MS 38804-4802
Mailing address
131 N Lane Dr
Tupelo, MS 38801-4500
Other practice locations
- 2664 S Harper Rd, Corinth, MS 38834-6723 · (662) 287-4055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 904051 (MS) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1962013664
Hollie Dulaney Moffatt, PMHNP-BC's National Provider Identifier is 1962013664, issued on Aug 14, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tupelo, MS. The record was last updated on Mar 3, 2021.