Individual
HOPE B MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
207 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 661-6340
Mailing address
303 PARKBURG RD, JACKSON, TN 38301-9527
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000025857
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3022807
TN BCBS INDIVIDUAL
TN
05
—
3605910
—
TN
Enumeration date
09/20/2005
Last updated
04/04/2008
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