Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Rebecca Truelove Moore, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1134558653

Mrs. Rebecca Truelove Moore, FNP-BC is a Nurse Practitioner in Canton, Mississippi. Qualified in 2013, 13 years ago. Practices with Lakeland Surgical Clinic PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2013
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

156 River Oaks Dr Ste A
Canton, MS 39046-5376
Phone: (601) 855-5287
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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 R878648 (MS)

Record details

NPI number1134558653
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedNovember 5, 2013
Last updated in NPPESNovember 5, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lakeland Surgical Clinic Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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