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Roxane Theresa Moncure, AGNP
Gerontology Nurse Practitioner in Jackson, Mississippi
NPI 1396202396

Roxane Theresa Moncure is a Gerontology Nurse Practitioner based in Jackson, MS and is specialized in Gerontology. Roxane Theresa Moncure practices in Jackson, MS and has the professional credentials of AGNP. The NPI Number for Roxane Theresa Moncure is 1396202396 and holds a License No. AG01190040 (Mississippi).

The current practice location address for Roxane Theresa Moncure is 919 Rutherford Dr, Jackson, MS and can be reached out via phone at 601-259-6426 and via fax at 601-376-2570.

Location: 919 Rutherford Dr, Jackson, MS, 39206-2033
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Provider Profile Details
NPI Number
1396202396
Provider Name
Roxane Theresa Moncure
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
919 Rutherford Dr, Jackson, MS, 39206-2033
Phone Number
601-259-6426
Fax Number
601-376-2570
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
903127 01 MS WOUNDCARE
institution
Provider Business Practice Location Address Details
Address
919 Rutherford Dr
City
State
Zip
39206-2033
Phone Number
601-259-6426
Fax Number
601-376-2570
person
Provider Business Mailing Address Details
Address
919 Rutherford Dr
City
State
Zip
39206-2033
Phone Number
601-259-6426
Fax Number
601-376-2570
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AG01190040 (Mississippi)
Definition
Definition to come...
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