Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY SUE MOORE, PMHNP
Active Sole ProprietorMS. MARY SUE MOORE, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PORT ST JOE, Florida. NPI 1508221284 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PORT ST JOE, FL
Registration Details
- NPI Number
- 1508221284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2015 (10.633509108392 yrs)
- Last Updated
- Feb 3, 2026
- Licenses
-
RN9162481 (FL)APRN9162481 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 CECIL G COSTIN SR BLVDPORT ST JOE, FL, 324561928Browse FL providers · Browse ZIP 32456
- Phone
- 8502291043
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in PORT ST JOE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHRYN M LAND | ARNP | 1518102029 |
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.