Individual ProviderJudith Anne MoonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Rock Merritt Ave, Fort Liberty, NC 28310-4662(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Judith Anne Moon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1033703517Provider TypeIndividualFull NameMoon, Judith AnneGenderFemaleSole ProprietorNoEnumeration Date2/24/2021Last Updated10/28/2024Contact InformationPractice LocationPractice Address2817 Rock Merritt Ave, Fort Liberty, NC 28310-4662Phone(910) 907-8922Fax(910) 907-6069Mailing LocationMailing Address2817 Rock Merritt Ave, Fort Liberty, NC 28310-0001Phone(910) 907-8922Fax(910) 907-6069Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5014477North Carolina