Individual
DR. STEPHANIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, WHNP-BC
Contact information
Practice address
LAMONT STREET AND VETERANS WAY, JOHNSON CITY, TN 37604
(423) 926-1171
(423) 979-3591
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122889
TN
363L00000X
Nurse Practitioner
Primary
7849
TN
Other
Enumeration date
06/16/2005
Last updated
11/13/2023
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