| Laura Kruger Moore, NP | |
|
1100 Highway 16 E, Carthage, MS 39051-4222 | |
| (601) 267-1406 | |
| (601) 267-1469 |
| Full Name | Laura Kruger Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1100 Highway 16 E, Carthage, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386164630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R901923 (Mississippi) | Primary |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | Baptist Medical Center-leake, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356626618 PECOS PAC ID: 7214102961 Enrollment ID: O20120112000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Kruger Moore, NP 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () - | Laura Kruger Moore, NP 1100 Highway 16 E, Carthage, MS 39051-4222 Ph: (601) 267-1406 |
Mrs. Tommie K Jones, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Ellis St, Carthage, MS 39051 Phone: 601-267-1480 Fax: 601-253-0176 | |
Mrs. April Mclellan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Ellis St, Carthage, MS 39051 Phone: 601-267-0544 | |
Ronnie Keith Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Highway 16 E, Carthage, MS 39051 Phone: 601-253-0173 Fax: 601-346-2352 | |
Michelle S Atkinson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1930 N Pearl St, Carthage, MS 39051 Phone: 601-267-8368 Fax: 601-267-6639 | |
Ms. Yvonne Danae Camper, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Ellis St, Carthage, MS 39051 Phone: 601-855-5287 | |
Mrs. Crystal Howell Martin, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Valley St, Carthage, MS 39051 Phone: 601-298-0333 Fax: 601-298-0797 | |
Sharon Gail Dunn, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1559 Highway 35 S, Carthage, MS 39051 Phone: 601-937-0444 Fax: 601-937-0444 |