Moore, Hope B

Moore, Hope B is an individual health care provider with primary practice located at 207 Stonebridge Blvd , Jackson TN 38305-2040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Hope B can be contacted via phone (731) 661-6340.

Contact Information

Primary practice address
207 Stonebridge Blvd Jackson TN 38305-2040
Phone: (731) 661-6340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000025857 Tennessee

Profile Details

NPI number 1619963295
LBN Legal business name Moore, Hope B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 4th, 2008 - about 16 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 1619963295 NPPES
Tennessee MEDICAID 3605910
Tennessee Other 3022807

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