Individual
JUSTINE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1515 SAINT MARY ST, KNOXVILLE, TN 37917-4503
(800) 255-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
280457
TN
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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