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

Lonnie L Moore, NP

Individual provider Family Nurse Practitioner · NPI 1962852988

Lonnie L Moore, NP is a Nurse Practitioner in Marks, Mississippi. Qualified in 2016, 10 years ago. Practices with Delta Medical Foundation, an 8-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1022 Martin Luther King Dr
Marks, MS 38646-1832
Phone: (662) 326-3500
Fax: (901) 756-5564
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 901567 (MS)

Record details

NPI number1962852988
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 21, 2016
Last updated in NPPESAugust 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Delta Medical Foundation — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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