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1174606289
SHANNON L MOFFETT
JACKSON, MS
NPI
1174606289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS R857161)
Enumeration Date
2006-10-23
Last Update Date
2016-06-29
Business Address
-- SHANNON L MOFFETT NP
2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF PULMONARY
JACKSON, MS 39216-4505
Phone number: 601-984-5650
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Mailing Address
-- SHANNON L MOFFETT NP
2500 N STATE ST DIVISION OF PULMONARY
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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