NPI 1184200255

Gambrell Moore

Practitioner Home Health Aide Jackson, MS

Practice location

Address: 4271 Cypress Dr # 42, Jackson, MS 39212-3406
Phone: (601) 983-6016

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 800753572 (MS)

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Registry record

NPI: 1184200255
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2021
Record last updated: 19 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.