IndividualActive
Gambrell Moore
NPI 1184200255 · Home Health Aide · Jackson, MS
Provider details
- NPI number
- 1184200255
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 800753572 (MS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4271 Cypress Dr # 42
Jackson, MS 39212-3406
Phone: (601) 983-6016
Approximate (ZIP-level) locationGet directions
Mailing address
4271 Cypress Dr # 42
Jackson, MS 39212-3406
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.