Individual
DUSTIN J MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 INTERSTATE DR, SUITE 103, CROSSVILLE, TN 38555-2709
(931) 210-5577
(931) 210-5575
Mailing address
229 INTERSTATE DR, SUITE 103, CROSSVILLE, TN 38555-2709
(931) 210-5577
(931) 210-5575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN19695
TN
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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