Clare Adams Moore, fnp
Nurse Practitioner in Cleveland, MS. Individual provider (NPI-1).
NPI number1104332089
StatusActive
Last updated in NPPESDec 14, 2017
Details
- NPI
- 1104332089
- Entity type
- Individual (NPI-1)
- Name
- Clare Adams Moore
- Credential
- fnp
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2017
- Last updated
- Dec 14, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902284 | MS | Yes |
Practice location
810 E Sunflower RdCleveland, MS 38732-2800
Phone 662-579-0136
Mailing address
106 S Pearman AveCleveland, MS 38732-3246
Phone 662-719-5911
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Nurse Practitioner providers in Cleveland · All 405 providers in Cleveland
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