TERRICA MOORE DNP, CPNP-PC
NPI 1114508488
Nurse Practitioner - Pediatrics in Southaven, MS

Active since April 19, 2021
3674 GOODMAN RD E, SOUTHAVEN, MS 38672(662) 890-7747 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Terrica Moore Dnp, Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRICA MOORE DNP, CPNP-PC (NPI 1114508488) is an individual pediatrics provider in Southaven, Mississippi, licensed in Tennessee (202019164) and active in the NPI registry since April 2021. She maintains a secondary practice location in Senatobia.

NPPES Registry Identity

NPI1114508488
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTERRICA MOORECredential: DNP, CPNP-PC
Location Address3674 GOODMAN RD ESouthaven, MS 38672-6402
Mailing Address6919 Lagrange Pines RdCordova, TN 38018-2857 · (901) 596-6657
Sole ProprietorNo
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
NPI 1114508488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in TN · 202019164
3674 GOODMAN RD E, Southaven, MS 38672

Other Names 1

Other Name (5)Edterrica Moore

Secondary Practice Location 1

Location 1103 Halls CvSenatobia, MS 38668-6620 · Phone (662) 562-9003

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
3674 GOODMAN RD E
SOUTHAVEN, MS 38672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terrica Moore's NPI number?

The NPI number for Terrica Moore is 1114508488. It was assigned to this individual provider in the NPPES registry on April 19, 2021. The provider is also known as Edterrica Moore.

Where is Terrica Moore located?

Terrica Moore practices at 3674 Goodman Rd E, Southaven, MS 38672. The listed phone number is (662) 890-7747.

What is Terrica Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Terrica Moore accept?

Health plans from BlueCross BlueShield of Tennessee, Molina Healthcare and UnitedHealthcare list Terrica Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terrica Moore was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.