Airston Small Moses, FNP
NPI #1780302935 in Ruleville, Mississippi
Provider Information
- NPI Number
- 1780302935
- Entity Type
- Individual
- Name
- Airston Small Moses, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 840 N OAK AVE
- City
- Ruleville
- State
- Mississippi
- ZIP Code
- 38771-3227
- Phone
- (662) 756-4024
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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