Individual
JENNIFER E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 SPRINGHOUSE CT, SUITE 100, HENDERSONVILLE, TN 37075-1609
(615) 826-2080
(615) 822-3213
Mailing address
100 SPRINGHOUSE CT, SUITE 100, HENDERSONVILLE, TN 37075-1609
(615) 826-2080
(615) 822-3213
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD026653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3097270
—
TN
Enumeration date
01/18/2007
Last updated
06/10/2014
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