Individual
STEPHANIE SUSAN RAYL-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 HIGHWAY 31 S, DECATUR, AL 35603-1538
(256) 353-2000
Mailing address
30 BURTON HILLS BLVD, STE 175, NASHVILLE, TN 37215-6403
(615) 988-2014
(615) 208-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-138771
STATE LICENSE
AL
Enumeration date
04/06/2018
Last updated
06/30/2021
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