Search › Mississippi › 363LF0000X
Daniel Moore, NURSE PRACTITIONER
NPI 1326575069 · on the registry since 2017 · sole proprietor
Practice
- Address
- 940 Brookway Blvd
Brookhaven, MS 39601 - Phone
- (601) 823-5000
- Fax
- (601) 823-4140
- Organisation at this address
- King'S Daughters Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 1005 W Congress St, Brookhaven, MS
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi