Ms. Mary Sue Moore
PMHNP | Nurse Practitioner | 8+ years Exp
401 Cecil G Costin Sr Blvd, Port St Joe
Florida, 32456-1928
850-229-1043
Ms. Mary Sue Moore is a Port St Joe, Florida based nurse practitioner with 8 years of experience as Nurse Practitioner. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Mary Sue Moore is APRN9162481 for Psych/Mental Health NP in Florida. Her current practice location is 401 Cecil G Costin Sr Blvd, Port St Joe. Patients can reach her at 850-229-1043. Ms. Mary Sue Moore is PMHNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1508221284.
Ms. Mary Sue Moore has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Mary Sue Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Mary Sue Moore |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 401 Cecil G Costin Sr Blvd, Port St Joe,
Florida, 32456-1928 |
| Phone: | 850-229-1043 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0143565952 |
| Enrollment ID: | I20181226001491 |
| NPI Number: | 1508221284 |
| NPI Enumeration Date: | 22 Dec, 2015 |
| NPI Last Update On: | 03 Feb, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Mary Sue Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN9162481 | Psych/Mental Health NP | Florida | Primary | |
| RN9162481 | Registered Nurse | Florida | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Mary Sue Moore is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Pancare Of Florida, Inc (3476574229) | 27 |
| Pancare Of Florida, Inc (3476574229) | 27 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Mary Sue Moore
11523 Sw Mcclellan Farm Rd,
Clarksville, Florida |
| Zip: | 32430-3043 |
| Phone Number: | 850-899-3191 |
Patients can reach Ms. Mary Sue Moore at
401 Cecil G Costin Sr Blvd, Port St Joe, Florida or can
call to book an appointment on 850-229-1043.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.