Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Moore, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1326575069

Daniel Moore, NURSEPRACTITIONER is a Family Nurse Practitioner in Brookhaven, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

940 Brookway Blvd
Brookhaven, MS 39601-2644
Phone: (601) 823-5000
Fax: (601) 823-4140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1005 W Congress St, Brookhaven, MS 39601-2603 — (601) 833-9388

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902196 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 892107 (MS)

Record details

NPI number1326575069
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 12, 2017
Last updated in NPPESMarch 17, 2018

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