Moore, Carol D

Moore, Carol D is an individual health care provider with primary practice located at 127 Crestview Park Dr Ste 205 , Dickson TN 37055-2856. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Moore, Carol D can be contacted via phone (615) 441-4592.

Contact Information

Primary practice address
127 Crestview Park Dr Ste 205 Dickson TN 37055-2856
Phone: (615) 441-4592
Fax: (615) 441-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN06523 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006523 Tennessee

Profile Details

NPI number 1841328069
LBN Legal business name Moore, Carol D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jan 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841328069 NPPES
Tennessee MEDICAID 3341015

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