Moore, Deronna S
Moore, Deronna S is an individual health care provider with primary practice located at 210 E Economy Rd , Morristown TN 37814-3756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore, Deronna S can be contacted via phone (423) 307-1468.Contact Information
Primary practice address
210 E Economy Rd
Morristown TN 37814-3756
Phone: (423) 307-1468
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2543 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1903 | Kentucky |
Profile Details
NPI number | 1487067534 |
---|---|
LBN Legal business name | Moore, Deronna S |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2014 |
Last updated | Mar 10th, 2016 - about 8 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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