Carol Clark Moses, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Greenwood, MS

NPI

1245892777

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

903410 (MS)

Sex

Female

Sole proprietor

No

Enumerated

2019-07-04

Last updated

2019-07-04