Bridget Moore
Registered Nurse in Tupelo, MS. Individual provider (NPI-1).
NPI number1801559596
StatusActive
Last updated in NPPESOct 19, 2021
Details
- NPI
- 1801559596
- Entity type
- Individual (NPI-1)
- Name
- Bridget Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2021
- Certification date
- Oct 19, 2021
- Last updated
- Oct 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 900550 | MS | Yes |
Practice location
2434 S Eason BlvdTupelo, MS 38804-6942
Phone 662-640-4595
Mailing address
2434 S Eason BlvdTupelo, MS 38804-6942
Is something wrong?
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All 84 Registered Nurse providers in Tupelo · All 2,880 providers in Tupelo
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