Doctor Name: | MR. ROBERT KEITH MOORE |
NPI Number: | 1346595154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.N. |
License Number: | R882271 |
Business Practice Address: | 1465 Lakeland Dr Jackson, MS - 392164719 |
Business Phone Number: | 7697771058 |
Business Fax Number: | 7692302864 |
Mailing Address: | 550 Post Rd, 709 RIDGELAND |
State: | MS |
Postal Code: | 391579601 |
Phone Number: | 6015131108 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | R882271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |