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Shannon L Moffett, NP
Acute Care Nurse Practitioner in Jackson, Mississippi
NPI 1174606289

Shannon L Moffett is an Acute Care Nurse Practitioner based in Jackson, MS and is specialized in Acute Care. Shannon L Moffett practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Shannon L Moffett is 1174606289 and holds a License No. R857161 (Mississippi).

The current practice location address for Shannon L Moffett is 2500 North State Street, Jackson, MS and can be reached out via phone at 601-984-5650 and via fax at 601-984-5658. You can also correspond with Shannon L Moffett through the mailing address at 2500 N STATE ST, JACKSON, MS - 39216-4500 (mailing address contact number: 601-984-6426).

Location: 2500 North State Street, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1174606289
Provider Name
Shannon L Moffett
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2500 North State Street, Jackson, MS, 39216-4500
Phone Number
601-984-5650
Fax Number
601-984-5658
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06188884 05 MS
P01648526 01 MS RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2500 North State Street
City
State
Zip
39216-4505
Phone Number
601-984-5650
Fax Number
601-984-5658
person
Provider Business Mailing Address Details
Address
2500 North State Street
City
State
Zip
39216-4505
Phone Number
601-984-5650
Fax Number
601-984-5658
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R857161 (Mississippi)
Definition
Definition to come...
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