Healthcare Provider Details

I. General information

NPI: 1972483139
Provider Name (Legal Business Name): APRIL NICOLE MOSES MHA, BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2025
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5854 CANTON PARK DR
JACKSON MS
39211-3432
US

IV. Provider business mailing address

4615 N MIDWAY RD
RAYMOND MS
39154-9356
US

V. Phone/Fax

Practice location:
  • Phone: 832-893-0688
  • Fax:
Mailing address:
  • Phone: 832-893-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number872079
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number872079
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number872079
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number872079
License Number StateMS
# 5
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number872079
License Number StateMS
# 6
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number872079
License Number StateMS
# 7
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License Number872079
License Number StateMS
# 8
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number872079
License Number StateMS
# 9
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number872079
License Number StateMS
# 10
Primary TaxonomyN
Taxonomy Code163WX0601X
TaxonomyOtorhinolaryngology & Head-Neck Registered Nurse
License Number872079
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: