Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MISTY MOORE IVY, C.R.N.P.
ActiveMRS. MISTY MOORE IVY, C.R.N.P. is a Family Nurse Practitioner healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1063465482 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1063465482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2006 (20.201065072742 yrs)
- Last Updated
- Jun 20, 2024
- Licenses
-
APN11904 (TN)R860233 (MS)
Practice Information
- Address
-
7203 GOODMAN RDOLIVE BRANCH, MS, 386541906Browse MS providers · Browse ZIP 38654
- Phone
- 9017592322
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in OLIVE BRANCH, MS
| Name | Credential | NPI |
|---|---|---|
| MR. LEO ROURKE | ARNP | 1578552188 |
| CHARLA F WILSON | FNP | 1225027832 |
| TONYA H HYLANDER | FNP | 1841272580 |
| SUSAN C BRAME | FNP | 1659336196 |
| DIANA DRUMWRIGHT DEDMON | FNP | 1457393183 |
| KERRY HICKS | NP | 1700815263 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.