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Mr. Enos Kenneth Moss JR., RN,MSN,ANP-BC
Psychiatric/Mental Health Nurse Practitioner in Chantilly, Virginia
NPI 1548527997

Enos Kenneth Moss JR. is a Psychiatric/Mental Health Nurse Practitioner based in Saint Louis, VA and is specialized in Psychiatric/Mental Health. Enos Kenneth Moss JR. practices in Chantilly, VA and has the professional credentials of RN,MSN,ANP-BC. The NPI Number for Enos Kenneth Moss JR. is 1548527997 and holds a License No. 2012011952 (Virginia).

The current practice location address for Enos Kenneth Moss JR. is 14101 Sullyfield Cir Ste 400A, Chantilly, VA and can be reached out via phone at 888-478-1882.

Location: 14101 Sullyfield Cir Ste 400A, Chantilly, VA, 63141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548527997
Provider Name
Enos Kenneth Moss JR.
Credential
RN,MSN,ANP-BC
Provider Entity Type
Individual
Gender
Male
Address
14101 Sullyfield Cir Ste 400A, Chantilly, VA, 63141
Phone Number
888-478-1882
Fax Number
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548527997 05 MO
institution
Provider Business Practice Location Address Details
Address
14101 Sullyfield Cir Ste 400A
City
Chantilly
State
Virginia
Zip
20151-1781
Phone Number
888-478-1882
Fax Number
person
Provider Business Mailing Address Details
Address
14101 Sullyfield Cir Ste 400A
City
Chantilly
State
Virginia
Zip
20151-1781
Phone Number
888-478-1882
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2012011952 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2012011952 (Missouri)
Definition
Definition to come...
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