Individual
CHEVI BROOKE LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1600 S HENDERSON BLVD, KILGORE, TX 75662-3518
(903) 215-3149
(903) 367-0300
Mailing address
PO BOX 41, FOUKE, AR 71837-0041
(870) 648-9300
(903) 367-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229994
AR
Other
Enumeration date
08/06/2024
Last updated
01/24/2025
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