Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVEN VICTORIA MOORE, MOT/S
ActiveStudent (Health Education/Training) · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1548153505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2025 (0.90802798129303 yrs)
- Last Updated
- May 29, 2025
Practice Information
- Address
-
3964 GOODMAN RD E STE 105SOUTHAVEN, MS, 386728711Browse MS providers · Browse ZIP 38672
- Phone
- 6629324652
- Fax
- 6629324626
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| LISA DEPTULA | PA, MD | 1184052508 |
| PEYTON MILES | — | 1134877764 |
| DANIEL JOGLY LAREZ SOLANO | MD | 1659015063 |
| LUAN TRONG TRAN | DO | 1710621925 |
| THOMAS KELLY BALLARD IV | — | 1245975226 |
| TREVOR MCGEE | — | 1215672175 |
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.