Robert Keith Moore, R.N.

Registered Nurse · Jackson, MS

Individual Active NPI

NPI number 1346595154

Practice location

1465 Lakeland Dr
Jackson, MS 39216-4719
Phone
(769) 777-1058
Fax
(769) 230-2864

Open in Google Maps

NPI record

NPI
1346595154
Entity type
Individual (Type 1)
Enumeration date
July 17, 2012
Last updated
January 26, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X R882271 MS

Mailing address

550 Post Rd
709
Ridgeland, MS 39157-9601
Phone
(601) 513-1108

About Robert Moore

Robert Keith Moore, R.N. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 1465 Lakeland Dr, Jackson, MS 39216-4719. The NPI number 1346595154 was assigned on July 17, 2012 and the record was last updated on January 26, 2016.

Robert Moore lists a license in the registry: #R882271 (MS) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Keith Moore, R.N.?

The NPI number is 1346595154.

What is the phone number of Robert Moore?

The phone number listed for the practice location is (769) 777-1058.

Where is Robert Moore located?

1465 Lakeland Dr, Jackson, MS 39216-4719.

What is the taxonomy code for Robert Moore?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Registered Nurse providers in Jackson

All Registered Nurse providers in Jackson, MS →