Individual provider · Type 1 NPI

Kenya D. Moss, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · East Chicago, IN

NPI number 1982489332 Active

Practice location

4321 Fir St
East Chicago, IN 46312-3049

Fax (219) 392-7470

Mailing address

16700 Luella Ave
South Holland, IL 60473-2619

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X28201922A (IN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71014366A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1982489332

Kenya D. Moss, PMHNP-BC's National Provider Identifier is 1982489332, issued on Aug 25, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in East Chicago, IN. The record was last updated on Sep 25, 2023.