SHELLIE J MOFFETT

AMORY, MS
NPI1902116064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R855814)
Enumeration Date2010-10-07
Last Update Date2019-09-27
Business Address
SHELLIE J MOFFETT NP
1105 EARL FRYE BLVD
AMORY, MS 38821-5500
Phone number: 662-256-7112
Mailing Address
SHELLIE J MOFFETT NP
10996 FOUR SEASONS PL STE 100A
CROWN POINT, IN 46307-8685
Phone number: 662-256-7112
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