Individual
TIFFANEE RACHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1121 GREENWOOD XING STE 101, BESSEMER, AL 35022-5687
(866) 284-8788
Mailing address
416 GREY OAKS DR, PELHAM, AL 35124-2541
(334) 549-3575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-142871
AL
Other
Enumeration date
01/05/2021
Last updated
02/01/2021
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