Moore, Mary Sue

Moore, Mary Sue is an sole proprietor health care provider with primary practice located at 401 Cecil G Costin Sr Blvd , Port St Joe FL 32456-1928. 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 Sue can be contacted via phone (850) 229-1043.

Contact Information

Primary practice address
401 Cecil G Costin Sr Blvd Port St Joe FL 32456-1928
Phone: (850) 229-1043
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9162481 Florida

Profile Details

NPI number 1508221284
LBN Legal business name Moore, Mary Sue
Credentials APRN, DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2015
Last updated May 1st, 2023 - 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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