Moore, Melissa R

Moore, Melissa R is an individual health care provider with primary practice located at 854 W James Campbell Blvd Suite 301, Columbia TN 38401-4659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Melissa R can be contacted via phone (931) 388-8779.

Contact Information

Primary practice address
854 W James Campbell Blvd Suite 301 Columbia TN 38401-4659
Phone: (931) 388-8779
Fax: (931) 540-0518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12886 Tennessee

Profile Details

NPI number 1922297019
LBN Legal business name Moore, Melissa R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Mar 10th, 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 1922297019 NPPES
Tennessee MEDICAID 3710089
Tennessee Other 4168669
Tennessee MEDICAID 3341405

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