MS. Mary Sue Moore, PMHNP
NPI #1508221284 in Port St Joe, Florida
Provider Information
- NPI Number
- 1508221284
- Entity Type
- Individual
- Name
- MS. Mary Sue Moore, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP
- Enumeration Date
- Dec 22, 2015
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 401 CECIL G COSTIN SR BLVD
- City
- Port St Joe
- State
- Florida
- ZIP Code
- 32456-1928
- Phone
- (850) 229-1043
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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