Doctor profile · Federal record
Dr. Mary (Molly) Moore, FNP-BC
Family Nurse Practitioner · Jackson, MS
- NPI 1063481034
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2500 N State St
Jackson, MS 392164500
(601) 984-6270
Credentials & registration
- NPI registered
- March 2006 — 20 yrs on file
- Profile last updated
- May 7, 2015
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Mississippi #R843526
- Medicaid
- MS #00120621
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063481034. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$59
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $23.82 | |
| Leo Pharma INC. | 1 | $21.83 | |
| Dermavant Sciences, INC. | 1 | $13.52 |
By nature of payment
Frequently asked questions
What is Dr. Mary (Molly) Moore's medical specialty?
Dr. Mary (Molly) Moore practices Family Nurse Practitioner in Jackson, MS.
Where does Dr. Mary (Molly) Moore practice?
Dr. Mary (Molly) Moore practices at 2500 N State St, Jackson, MS 392164500. Office phone: 6019846270.
What is Dr. Mary (Molly) Moore's NPI?
Dr. Mary (Molly) Moore's National Provider Identifier (NPI) is 1063481034, issued by NPPES.