Individual
ERIC MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 320-9213
Mailing address
105 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 320-9213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
35452
TN
Other
Enumeration date
01/13/2020
Last updated
05/09/2025
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