Moore, Gambrell
Moore, Gambrell is an sole proprietor health care provider with primary practice located at 4271 Cypress Dr # 42 , Jackson MS 39212-3406. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Moore, Gambrell can be contacted via phone (601) 983-6016.Contact Information
Primary practice address
4271 Cypress Dr # 42
Jackson MS 39212-3406
Phone: (601) 983-6016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 800753572 | Mississippi |
Profile Details
| NPI number | 1184200255 |
|---|---|
| LBN Legal business name | Moore, Gambrell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2021 |
| Last updated | Mar 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184200255 | NPPES |
| Mississippi | MEDICAID | 861625652 |
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