Individual
MRS. WHITNEY JACKSON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
236 N MAIN ST, LOBELVILLE, TN 37097-3296
(931) 593-2277
(931) 593-2517
Mailing address
PO BOX 219, LOBELVILLE, TN 37097-0219
(931) 593-2277
(931) 593-2517
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23428
TN
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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