ELLEN PEYTON MOORE DNP, APRN, AGPCNP-BC
NPI 1639615768
Nurse Practitioner - Adult Health in Madison, MS

Active since January 12, 2017
122 WEISENBERGER RD, MADISON, MS 39110(601) 790-9098 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Peyton Moore Dnp, Aprn, Agpcnp-bc NPPES

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

ELLEN PEYTON MOORE DNP, APRN, AGPCNP-BC (NPI 1639615768) is an individual adult health provider in Madison, Mississippi, licensed in Mississippi (901499) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1639615768
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELLEN PEYTON MOORECredential: DNP, APRN, AGPCNP-BC
Location Address122 WEISENBERGER RDMadison, MS 39110-7993
Mailing Address122 Weisenberger RdMadison, MS 39110-7993 · (601) 790-9098
Sole ProprietorNo
Enumeration DateJanuary 12, 2017
NPI 1639615768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MS · 901499
122 WEISENBERGER RD, Madison, MS 39110

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
122 WEISENBERGER RD
MADISON, MS 39110
Dietitian, Registered
122 WEISENBERGER RD
MADISON, MS 39110

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 Ellen Moore's NPI number?

The NPI number for Ellen Moore is 1639615768. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Ellen Moore located?

Ellen Moore practices at 122 Weisenberger Rd, Madison, MS 39110. The listed phone number is (601) 790-9098.

What is Ellen Moore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Ellen Moore was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.