person
Katie Scianna Moore, CPNP-PC
Pediatric Nurse Practitioner in Hattiesburg, Mississippi
NPI 1821697210

Katie Scianna Moore is a Pediatric Nurse Practitioner based in Hattiesburg, MS and is specialized in Pediatrics. Katie Scianna Moore practices in Hattiesburg, MS and has the professional credentials of CPNP-PC. The NPI Number for Katie Scianna Moore is 1821697210 and holds a License No. 903811 (Mississippi).

The current practice location address for Katie Scianna Moore is 4210 Lincoln Rd, Hattiesburg, MS and can be reached out via phone at 601-261-3500 and via fax at 601-261-3583. You can also correspond with Katie Scianna Moore through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-261-3500).

Location: 4210 Lincoln Rd, Hattiesburg, MS, 39401-7246
person
Provider Profile Details
NPI Number
1821697210
Provider Name
Katie Scianna Moore
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
4210 Lincoln Rd, Hattiesburg, MS, 39401-7246
Phone Number
601-261-3500
Fax Number
601-261-3583
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4210 Lincoln Rd
City
State
Zip
39402-3093
Phone Number
601-261-3500
Fax Number
601-261-3583
person
Provider Business Mailing Address Details
Address
4210 Lincoln Rd
City
State
Zip
39402-3093
Phone Number
601-261-3500
Fax Number
601-261-3583
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
903811 (Mississippi)
Definition
Definition to come...
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