MEDICARE: APRIL NICOLE MOSES MHA, BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC1500X	Community Health Registered Nurse	872079	MS
2	163WC1600X	Continuing Education/Staff Development Registered Nurse	872079	MS
3	163W00000X	Registered Nurse	872079	MS
4	163WA2000X	Administrator Registered Nurse	872079	MS
5	163WH0200X	Home Health Registered Nurse	872079	MS
6	163WN1003X	Nutrition Support Registered Nurse	872079	MS
7	163WR0400X	Rehabilitation Registered Nurse	872079	MS
8	163WW0000X	Wound Care Registered Nurse	872079	MS
9	163WG0000X	General Practice Registered Nurse	872079	MS
10	163WX0601X	Otorhinolaryngology & Head-Neck Registered Nurse	872079	MS

General Provider Information

NPI Number	:	1972483139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL NICOLE MOSES MHA, BSN, RN

Provider Business Mailing Address
First Line	:	4615 N MIDWAY RD
Second Line	:
City	:	RAYMOND
State	:	MS
Zip	:	39154-9356
Country	:	US
Telephone Number	:	832-893-0688
Fax Number	:

Provider Business Practice Location Address
First Line	:	5854 CANTON PARK DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-3432
Country	:	US
Telephone Number	:	832-893-0688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2025
Last Update Date	:	09/06/2025

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