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
Mailing address940 Brookway Blvd, Brookhaven, MS 39601-2644

Other providers in Brookhaven