Candice N Moore (NPI# 1902257165, PAC ID# 1850686544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902257165 |
| PAC ID by PECOS | 1850686544 |
| Professional Enrollment ID | I20160819000528 |
| Full Name | Candice N Moore |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL CENTER |
| Address |
427 Hwy 51 N Brookhaven MS 39601-2350 |
| Phone Number | 6018336011 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072575539 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| Address | Phone | Organization |
|---|---|---|
| 427 Hwy 51 N, Brookhaven, MS 39601-2350 | 6018336011 | KINGS DAUGHTERS MEDICAL CENTER |
| 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 6018337973 | KDMC PHYSICIAN CLINICS LLC |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL CENTER |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Michel | Certified Registered Nurse Anesthetist (crna) | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Paul E Smith | Certified Registered Nurse Anesthetist (crna) | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Monica Graves Eubanks | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Robert Dean Chappell | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Mohammad Rizwan | Internal Medicine | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Ellanie L Bessonette | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Jennifer B Boutwell | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Matthew T Gaines | Internal Medicine | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Megan Jarancik | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Tammy L Dixon | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Street Address |
427 HWY 51 N |
| City | BROOKHAVEN |
| State | MS |
| Zip | 39601-2350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Michel | Certified Registered Nurse Anesthetist (crna) | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Paul E Smith | Certified Registered Nurse Anesthetist (crna) | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Monica Graves Eubanks | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Robert Dean Chappell | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Mohammad Rizwan | Internal Medicine | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Ellanie L Bessonette | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Jennifer B Boutwell | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Matthew T Gaines | Internal Medicine | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Megan Jarancik | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Tammy L Dixon | Nurse Practitioner | Kings Daughters Medical Center | 427 Hwy 51 N, Brookhaven, MS 39601-2350 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Stewart | General Surgery | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| James B Hall | Nephrology | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| Jani L Purvis | Diagnostic Radiology | 108 Lance Alworth Dr, Brookhaven, MS 39601-2300 | |
| Katherine Ross Flynn | Nurse Practitioner | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Richard E. Miller | Nephrology | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Holly Alicia Kimbrell | Nurse Practitioner | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Braxter P Irby Jr. | Internal Medicine | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Timothy R Shann | Pediatric Medicine | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Charles Asa Reynolds | General Surgery | Brookhaven Surgery Clinic P.a. | 1036 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Briana Hall Price | Nurse Practitioner | Brookhaven Anesthesia and Pain Management | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Find all physicians in zip 39601 | |||
| City | BROOKHAVEN |
| Zip Code | 39601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROOKHAVEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Candice N Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.