Individual
TIMOTHY ALAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
115 N THOMPSON LN, MURFREESBORO, TN 37129-4305
(615) 896-4482
(615) 896-4472
Mailing address
115 N THOMPSON LN, MURFREESBORO, TN 37129-4305
(615) 896-4482
(615) 896-4472
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN0000007885
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03929438
—
TN
Enumeration date
10/17/2006
Last updated
07/08/2007
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