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

Katie Scianna Moore, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1821697210

Katie Scianna Moore, CPNP-PC is a Pediatric Nurse Practitioner in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020

Practice location Address checks out

4210 Lincoln Rd
Hattiesburg, MS 39402-3093
Phone: (601) 261-3500
Fax: (601) 261-3583
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 903811 (MS)

Record details

NPI number1821697210
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

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