Moss, Timothy K

Moss, Timothy K is an sole proprietor health care provider with primary practice located at 1915 Columbia Ave , Franklin TN 37064-3921. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Moss, Timothy K can be contacted via phone (615) 794-9973.

Contact Information

Primary practice address
1915 Columbia Ave Franklin TN 37064-3921
Phone: (615) 794-9973
Fax: (615) 794-9961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000143944 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000010677 Tennessee

Profile Details

NPI number 1679603310
LBN Legal business name Moss, Timothy K
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jun 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679603310 NPPES
Mississippi MEDICAID 04822865
Mississippi MEDICAID 1515300

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