Shannon L Moffett is a Jackson, Mississippi based nurse practitioner with 19 years of experience in Acute Care. She completed her graduation in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shannon L Moffett is R857161 for Acute Care in Mississippi. Her current practice location is 2500 North State Street, Department Of Medicine Division Of Pulmonary, Jackson. Patients can reach her at 601-984-5650 or can fax her at 601-984-5658. Shannon L Moffett is NP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1174606289. Shannon L Moffett is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Shannon L Moffett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Shannon L Moffett
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Female
Credentials:
NP
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2006
Accepts Medicare Assignment:
Yes
Practice Address:
2500 North State Street, Department Of Medicine Division Of Pulmonary, Jackson, Mississippi, 39216-4505
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:
4880695998
Enrollment ID:
I20070116000263
NPI Number:
1174606289
NPI Enumeration Date:
23 Oct, 2006
NPI Last Update On:
29 Jun, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon L Moffett are as mentioned below.
License Number
Specialization
State
Status
R857161
Acute Care
Mississippi
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(250001)
Jackson, MS
Acute Care Hospital
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 Shannon L Moffett is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
State Of Mississippi-university Of Mississippi Medical Center (1850293036)
820
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon L Moffett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
06188884
Medicaid
Mississippi
P01648526
Other
Mississippi
RAILROAD MEDICARE PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shannon L Moffett 2500 N State St, Division Of Pulmonary Jackson, Mississippi
Zip:
39216-4500
Phone Number:
601-984-6426
Fax Number:
601-984-6439
Patients can reach Shannon L Moffett at 2500 North State Street, Department Of Medicine Division Of Pulmonary, Jackson, Mississippi or can call to book an appointment on 601-984-5650.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.