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

Mary Christine Moore, CFNP

Individual provider Family Nurse Practitioner · NPI 1477806909

Mary Christine Moore, CFNP is a Nurse Practitioner in Oxford, Mississippi. Qualified in 2012, 14 years ago. Practices with Dermatology Associates of Oxford LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
14
Licensed in
MS, TN
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1626 Highway 30 E
Oxford, MS 38655
Phone: (662) 371-1326
Fax: (662) 371-1325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R883220 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN0000017955 (TN)

Record details

NPI number1477806909
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dermatology Associates Of Oxford Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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