MRS. CANDICE NICOLE MOORE (NPI# 1902257165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902257165 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE NICOLE MOORE |
| Credential | NURSE PRACTITIONER |
| Practice Address |
950 Brookway Blvd Brookhaven MS 39601-2644 |
| Mailing Address |
509 Storm Ave Brookhaven MS 39601-3731 |
| Practice Telephone | 6018337973 |
| Mailing Telephone | 6017577227 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901601 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047338 | Candice Moore | Counselor | 1375 Camilla Dr, Greenville, NC 27834-9556 | 2018-09-18 |
| 1629555131 | Candice M. Moore | Optometrist | 4465 Jimmy Lee Smith Pkwy Ste 101, Hiram, GA 30141-2723 | 2018-07-26 |
| 1538565106 | Candice Moore | Occupational Therapist | 105a Windmill Cv, Grenada, MS 38901-9305 | 2014-11-10 |
| 1447884846 | Candice Renee Moore | Nurse Practitioner | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-02-25 |
| 1972043131 | Candice Diane Moore | Nurse Practitioner | 2201 Forest Ln, Garland, TX 75042-7957 | 2017-03-06 |
| 1558745042 | Candice Gail Moore | Counselor | 10601 Grant Rd, Suite 115b, Houston, TX 77070-4400 | 2015-07-14 |
| 1881932770 | Candice Moore | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2013-01-28 |
| 1174699011 | Candice M. Moore | Occupational Therapist | 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-11-24 |
| 1326013228 | Candice A. Moore | Psychiatry & Neurology | 815 S Ash St, Nevada, MO 64772-3222 | 2006-02-22 |
| Street Address |
950 BROOKWAY BLVD |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255593265 | Blaine Cooper Britt | Internal Medicine | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2008-06-30 |
| 1861739161 | Kdmc Physician Clinics LLC | Clinic/Center | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2013-01-08 |
| 1881952489 | William Stanley Hay | Family Medicine | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2012-05-02 |
| 1730475815 | Marc Edward Johnson | Family Medicine | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946018 | Jacob Warren Spring | Nurse Practitioner | 414 Hardy Ln, Brookhaven, MS 39601-4046 | 2020-09-09 |
| 1306464425 | Mollie Maria Bowman | Nurse Practitioner | 2165 Prestwick Ct Ne, Brookhaven, GA 30319-4083 | 2020-07-07 |
| 1013534478 | Candace Laird Duckworth | Nurse Practitioner | 1578 Shanna Ln Nw, Brookhaven, MS 39601-4420 | 2020-07-01 |
| 1750748729 | Babatunde Adenusi | Nurse Practitioner | 435 W Brookhaven Rd, Brookhaven, PA 19015-1801 | 2016-01-21 |
| 1265825962 | Leah Smith Mcgehee | Nurse Practitioner | 201 Highway 51 N Ste A, Brookhaven, MS 39601-2653 | 2015-03-05 |
| 1598011090 | Carolyn Sandra Hayes-dozier | Nurse Practitioner | 1616 Powell Rd, Brookhaven, PA 19015-1934 | 2012-08-02 |
| 1215297239 | Lorraine Claudia Blagman | Nurse Practitioner | 4021 Woodworth Rd, Brookhaven, PA 19015-1913 | 2012-05-23 |
| 1386658763 | Catherine W. Knott | Nurse Practitioner | 950 Brookman Blvd, Brookhaven, MS 39601 | 2006-07-28 |
| 1689659864 | Brookhaven Anesthesia & Pain Management | Nurse Practitioner | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 | 2005-12-12 |
| 1679107692 | Tucker Lee Brady | Nurse Practitioner | 940 Brookway Blvd, Brookhaven, MS 39601-2644 | 2020-02-28 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
Please comment or provide details below to improve the information on MRS. CANDICE NICOLE MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.