Individual
JOYCE MCCULLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7376
Mailing address
4486 SUNVALLEY DR, MEMPHIS, TN 38109-4871
(901) 857-9582
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
60674
TN
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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