MRS. Misty Moore Ivy, C.R.N.P.
NPI #1063465482 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1063465482
- Entity Type
- Individual
- Name
- MRS. Misty Moore Ivy, C.R.N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- C.R.N.P.
- Enumeration Date
- May 18, 2006
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 7203 GOODMAN RD
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-1906
- Phone
- (901) 759-2322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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