Moore, Mary (Molly) Mccaffery

Moore, Mary (Molly) Mccaffery is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. 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, Mary (Molly) Mccaffery can be contacted via phone (601) 984-6270.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-6270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R843526 Mississippi

Profile Details

NPI number 1063481034
LBN Legal business name Moore, Mary (Molly) Mccaffery
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 7th, 2015 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1063481034 NPPES
Mississippi Other 753068151 MS PHYSICIANS CARE NETWOR
Mississippi MEDICAID 00120621 MS PHYSICIANS CARE NETWOR
Mississippi Other 7206004 MS PHYSICIANS CARE NETWOR
Mississippi Other 753068151001 MS PHYSICIANS CARE NETWOR
Mississippi Other 753068151 MS PHYSICIANS CARE NETWOR

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