Individual
MRS. DEBRA LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
615 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(844) 893-0012
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
33167
TN
363L00000X
Nurse Practitioner
Primary
SP019619
PA
Other
Enumeration date
09/07/2012
Last updated
03/16/2026
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