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

Mrs. Nicole Jones Moore, NP

Individual provider Family Nurse Practitioner · NPI 1245890144

Mrs. Nicole Jones Moore, NP is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2018, 8 years ago. Practices with David B Roy DO PA, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

102 E Hospital Dr
Hattiesburg, MS 39402-1310
Phone: (601) 475-9968
Fax: (601) 475-9969
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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 903302 (MS)

Record details

NPI number1245890144
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 13, 2019
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

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 David B Roy Do Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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