Doctor profile · Federal record
Dr. Mary Moore, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Registered Nurse · Port St Joe, FL
- NPI 1508221284
- 11 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
401 Cecil G Costin SR Blvd
Port St Joe, FL 324561928
(850) 229-1043 - Additional location
-
20370 Ne Burns Ave
Blountstown, FL 324241045
(850) 674-5411 - Mailing address
-
11523 Sw McClellan Farm RD
Clarksville, FL 324303043
Credentials & registration
- NPI registered
- December 2015 — 11 yrs on file
- Profile last updated
- February 3, 2026
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (2)
- Florida #APRN9162481 · Florida #RN9162481
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508221284. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$69
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 2 | $37.41 | |
| Exact Sciences Corporation | 2 | $31.46 |
By nature of payment
Frequently asked questions
What is Dr. Mary Moore's medical specialty?
Dr. Mary Moore practices Psychiatric/Mental Health Nurse Practitioner in Port St Joe, FL.
Where does Dr. Mary Moore practice?
Dr. Mary Moore practices at 401 Cecil G Costin SR Blvd, Port St Joe, FL 324561928. Office phone: 8502291043.
What is Dr. Mary Moore's NPI?
Dr. Mary Moore's National Provider Identifier (NPI) is 1508221284, issued by NPPES.