Individual
CRYSTAL G MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
125 TOWN CREEK RD E, SUITE 2B, LENOIR CITY, TN 37772-5690
(865) 986-1400
(865) 986-9400
Mailing address
125 TOWN CREEK RD E, SUITE 2B, LENOIR CITY, TN 37772-5690
(865) 986-1400
(865) 986-9400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15813
TN
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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