PAMELA TERESA MOORE (NPI# 1982979977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982979977 |
| Entity Type | Individual |
| Full Name | PAMELA TERESA MOORE |
| Credential | APRN/NNP-BC, RN |
| Practice Address |
1551 E County Line Rd Jackson MS 39211-1801 |
| Mailing Address |
Po Box 320039 Flowood MS 39232-0039 |
| Practice Telephone | 6019577345 |
| Practice Fax Number | 6019577344 |
| Mailing Telephone | 6019577345 |
| Mailing Fax Number | 6019577344 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP06306 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629499322 | Pamela Denese Moore | Physician Assistant | 1716 Allison Way, Redlands, CA 92373-7436 | 2013-12-23 |
| 1750519492 | Pamela Anne Moore | Contractor | 12703 Leyden St Unit E, Thornton, CO 80602-5226 | 2009-07-01 |
| 1508026535 | Pamela S Moore | Social Worker | 194 Webbmont Road, Highlands, NC 28741 | 2008-06-12 |
| 1770652679 | Pamela Beth Moore | Occupational Therapist | 5970 E 31st St, Ste F, Tulsa, OK 74135-5100 | 2006-11-06 |
| 1063506483 | Pamela Moore | Optometrist | 3300 E Flamingo Rd Ste 20, Las Vegas, NV 89121-4398 | 2006-10-02 |
| 1730192246 | Pamela Lynn Moore | Nurse Practitioner | 7600 N 15th Street, #130, Phoenix, AZ 85020-4347 | 2006-08-14 |
| 1700851391 | Pamela Kim Moore | Pediatrics | 1300 Sw 27th St, Renton, WA 98057-2435 | 2006-02-17 |
| 1477547701 | Pamela Marie Moore | Occupational Therapist | 6595 Cole Rd, Hahira, GA 31632-3621 | 2005-09-01 |
| 1851390900 | Pamela A Moore | Dentist | 1524 Independence Pkwy, Suite A1/b, Plano, TX 75075-6406 | 2005-07-20 |
| 1730718511 | Pamela Dianne Moore | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Mail Stop 800699, Charlottesville, VA 22908-0816 | 2020-04-03 |
| Street Address |
1551 E COUNTY LINE RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164518874 | John Thomas Barringer | Internal Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2006-10-04 |
| 1093228702 | Sentral B Brown | Social Worker | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2017-11-16 |
| 1962915678 | Andrea Farrar | Social Worker | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2017-11-16 |
| 1487179156 | Pathway Healthcare - Jackson, Ms, LLC | Family Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2017-08-03 |
| 1699140152 | Restore Health Pllc | Clinic/Center | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2015-12-09 |
| 1114223500 | On Demand Lab Test LLC | Clinical Medical Laboratory | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2011-02-01 |
| 1033394358 | Jeffrey Bryan Hickman | Counselor | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2008-01-05 |
| 1669697801 | William Lelon Aron Jr. | Family Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2007-04-14 |
| 1558586792 | Wl Aron Md Pa | Clinic/Center | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950733 | Elizabeth Wright Harvey | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-12-30 |
| 1720598899 | Lisa M. Smith | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-03 |
| 1770093841 | Emily Ann Jones | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-03 |
| 1972013159 | Victoria Mitchell | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-10-02 |
| 1104217017 | Alisia Chevese Hankins | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-02-13 |
| 1508284167 | Evelyn Roberts | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2014-04-01 |
| 1417196585 | Sheryl Smith Brewer | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2009-02-13 |
| 1750554929 | Jennifer Casey Hall | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2008-04-09 |
| 1396930418 | Monica Alford Aycock | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2007-09-11 |
| 1922029750 | Diane Frances Dukes | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-21 |
| Find all providers in JACKSON | ||||
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| 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.