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MISTY MOORE IVY, C.R.N.P.

C.R.N.P.

Family Nurse Practitioner

NPI: 1063465482IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

APN11904(TN)R860233(MS)

CMS Specialties

Education

OTHER

Class of 2001

Contact & Hours

Address
7203 GOODMAN RD
OLIVE BRANCH, MS 38654

Quick Facts

NPI
1063465482
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
25

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