Moore Ivy, Misty
Moore Ivy, Misty is an individual health care provider with primary practice located at 7203 Goodman Rd , Olive Branch MS 38654-1906. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore Ivy, Misty can be contacted via phone (901) 759-2322.Contact Information
Primary practice address
7203 Goodman Rd
Olive Branch MS 38654-1906
Phone: (901) 759-2322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN11904 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R860233 | Mississippi |
Profile Details
| NPI number | 1063465482 |
|---|---|
| LBN Legal business name | Moore Ivy, Misty |
| Credentials | C.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jun 20th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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