Individual
AMBER NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
207 E BOCKMAN WAY, SPARTA, TN 38583-2041
(931) 836-6461
Mailing address
225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2335
(931) 528-8899
(931) 520-7655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064977
—
TN
Enumeration date
02/25/2021
Last updated
11/09/2022
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