Individual
MRS. CHRISTY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-0791
Mailing address
1125 KATIE CV, HERNANDO, MS 38632-8053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902130
MS
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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