Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHIRLEY MOODY, PA
Active Sole ProprietorMRS. SHIRLEY MOODY, PA is a Physician Assistant healthcare provider located in TUSCOLA, Illinois. NPI 1770700585 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TUSCOLA, IL
Registration Details
- NPI Number
- 1770700585
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2007 (19.136738099915 yrs)
- Last Updated
- Feb 11, 2009
- License
-
085-002240 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
625 E US HIGHWAY 36TUSCOLA, IL, 619537505Browse IL providers · Browse ZIP 61953
- Phone
- 2172531235
- Fax
- 2172534238
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TUSCOLA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID KAMERON BROWNING | — | 1427673219 |
| KAITLIN COLTHARP | PA-C | 1902528276 |
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.