Individual
SHERRY M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
ONE PRIME CARE DRIVE, SELMER, TN 38375
(731) 645-7932
(731) 645-5195
Mailing address
ONE PRIME CARE DRIVE, PRIME CARE MEDICAL CENTER, SELMER, TN 38375
(731) 645-7932
(731) 645-5195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN027447
TN
363LF0000X
Family Nurse Practitioner
APN05064
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23178
TLC
TN
01
—
4038058
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/20/2006
Last updated
09/11/2025
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