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

Individual provider Nurse Practitioner · NPI 1649745241

Mrs. Chermal Rondell Moore, NURSEPRACTITIONER is a Nurse Practitioner in Philadelphia, Mississippi. Qualified in 2018, 8 years ago. Practices with Minor Med Care, LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
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Practice location Address checks out

1017 W Beacon St
Philadelphia, MS 39350-3218
Phone: (769) 200-0730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 902980 (MS)

Record details

NPI number1649745241
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Minor Med Care, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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