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

Stephanie L Moore, DIETITIAN

Individual provider Registered Dietitian · NPI 1760651947

Stephanie L Moore, DIETITIAN is a Registered Dietitian in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.

Licensed in
MS
In the registry since
2008

Practice location Address checks out

66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone: (601) 582-2619
Fax: (601) 544-4557
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D1108 (MS)

Record details

NPI number1760651947
Entity typeIndividual (Type 1)
GenderFemale
Credentials DIETITIAN
Sole proprietorNo
NPI enumeratedFebruary 21, 2008
Last updated in NPPESFebruary 21, 2008

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