Individual
JUANITA MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 453-1032
(865) 453-7271
Mailing address
719 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5016
(865) 453-1032
(865) 453-7271
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
256897
TN
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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