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GAMBRELL MOORE
NPI 1184200255
Home Health Aide in Jackson, MS

Active since March 19, 2021
4271 CYPRESS DR # 42, JACKSON, MS 39212(601) 983-6016 Get Directions Write a Review

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

About Gambrell Moore NPPES

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

GAMBRELL MOORE (NPI 1184200255) is an individual home health aide in Jackson, Mississippi, licensed in Mississippi (800753572) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1184200255
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameGAMBRELL MOORE
Location Address4271 CYPRESS DR # 42Jackson, MS 39212-3406
Mailing Address4271 Cypress Dr # 42Jackson, MS 39212-3406 · (601) 983-6016
Phone(601) 983-6016
Sole ProprietorYes
Enumeration DateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1184200255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in MS · 800753572
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
4271 CYPRESS DR # 42, Jackson, MS 39212
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Other Identifiers 1

Medicaid861625652MS

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 Gambrell Moore's NPI number?

The NPI number for Gambrell Moore is 1184200255. It was assigned to this individual provider in the NPPES registry on March 19, 2021.

Where is Gambrell Moore located?

Gambrell Moore practices at 4271 Cypress Dr # 42, Jackson, MS 39212. The listed phone number is (601) 983-6016.

What is Gambrell Moore's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Gambrell Moore was last updated on March 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.