IndividualActive
Itanjula Moore
NPI 1427653385 · Homemaker · Lena, MS
Provider details
- NPI number
- 1427653385
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
88 Trail Rd
Lena, MS 39094-9654
Phone: (769) 203-9570
Approximate (ZIP-level) locationGet directions
Mailing address
88 Trail Rd
Lena, MS 39094-9654
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.