Provider Demographics
NPI:1972483139
Name:MOSES, APRIL NICOLE (MHA, BSN, RN)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
Last Name:MOSES
Suffix:
Gender:F
Credentials:MHA, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 N MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:MS
Mailing Address - Zip Code:39154-9356
Mailing Address - Country:US
Mailing Address - Phone:832-893-0688
Mailing Address - Fax:
Practice Address - Street 1:5854 CANTON PARK DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-3432
Practice Address - Country:US
Practice Address - Phone:832-893-0688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS872079163WC1500X, 163WC1600X, 163W00000X, 163WA2000X, 163WH0200X, 163WN1003X, 163WR0400X, 163WW0000X, 163WG0000X, 163WX0601X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WN1003XNursing Service ProvidersRegistered NurseNutrition Support
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163WX0601XNursing Service ProvidersRegistered NurseOtorhinolaryngology & Head-Neck