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Mr. Mark Moore, CFNP

Nurse Practitioner in Meridian, MS · enumerated 2005 · practices at Joel T Callahan Thomas H Greer Jr & A Gary Boone Ptr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962489567

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Registry record

Entity type Individual (Type 1)
Name Mr. Mark Moore
Credential CFNP
Sex Male
Practice address 1600 22nd Ave, Medical Towers III, Meridian, MS, 39301
Fax (601) 581-2289
Enumeration date Dec 27, 2005
Last updated in NPPES Jun 2, 2011

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R669059 (MS) Primary

Other identifiers

Identifier Type State Issuer
02904207 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mark Moore practice?
The practice location on file with NPPES is in Meridian, MS. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mark Moore?
The National Provider Identifier (NPI) for Mark Moore is 1962489567, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-02.