Rhonda Moore, AGPCNP-BC
Nurse Practitioner, Gerontology in Union, MS. Individual provider (NPI-1).
NPI number1669914826
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1669914826
- Entity type
- Individual (NPI-1)
- Name
- Rhonda Moore
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2016
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
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 |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | R871925 | MS | Yes |
Practice location
24345 Highway 15Union, MS 39365-8575
Phone 601-774-8211 · Fax 601-774-8589
Mailing address
24345 Highway 15Union, MS 39365-8575
Phone 601-747-8211 · Fax 601-774-8321
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