Individual
LORIE NICHOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5555
Mailing address
7603 MOON CREST CT, POWELL, TN 37849-3528
(865) 399-0562
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
192145
TN
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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