Provider Demographics
NPI:1457043630
Name:MOSS, MARQUITA DANIELLE (FNP)
Entity type:Individual
Prefix:MS
First Name:MARQUITA
Middle Name:DANIELLE
Last Name:MOSS
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:105 N CRUTCHFIELD ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DOBSON
Mailing Address - State:NC
Mailing Address - Zip Code:27017-8804
Mailing Address - Country:US
Mailing Address - Phone:888-789-2922
Mailing Address - Fax:336-789-0856
Practice Address - Street 1:105 N CRUTCHFIELD ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DOBSON
Practice Address - State:NC
Practice Address - Zip Code:27017-8804
Practice Address - Country:US
Practice Address - Phone:888-789-2922
Practice Address - Fax:336-789-0856
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC28470A363LF0000X
VA0024190001363LF0000X
NC5022773363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily