Dr Shellely Jon Moore, DNP is a
Registered Nurse - Infusion Therapy based in Pass Christian, Mississippi. Dr Shellely Jon Moore is licensed to practice in Mississippi (license number 872233) and her current practice location is
125 Lang Ave, Pass Christian, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(901) 605-4349.
NPI number for Dr Shellely Jon Moore is 1477482891 and her current mailing address is 125 Lang Ave, Pass Christian, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477482891.
Provider's Profile
| Full Name | Dr Shellely Jon Moore |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Infusion Therapy |
|---|
| Location | 125 Lang Ave, Pass Christian, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477482891
- Provider Enumeration Date: 05/14/2026
- Last Update Date: 05/14/2026
Medical Identifiers
Medical identifiers for Dr Shellely Jon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477482891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WI0500X | Registered Nurse - Infusion Therapy | 872233 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shellely Jon Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Shellely Jon Moore, DNP 125 Lang Ave, Pass Christian, MS 39571-4605 Ph: (901) 605-4349 | Dr Shellely Jon Moore, DNP 125 Lang Ave, Pass Christian, MS 39571-4605 Ph: (901) 605-4349 |
Reviews and Comments