Individual
CAROL D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
768 HIGHWAY 46 S, DICKSON, TN 37055-2556
(615) 441-4400
(615) 441-4443
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN0000006523
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
APN06523
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3341015
—
TN
Enumeration date
03/01/2007
Last updated
04/09/2025
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