Mould, Stephen J

Mould, Stephen J is an individual health care provider with primary practice located at 1800 Medical Center Pkwy Suite 200, Murfreesboro TN 37129-2567. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mould, Stephen J can be contacted via phone (615) 896-6800.

Contact Information

Primary practice address
1800 Medical Center Pkwy Suite 200 Murfreesboro TN 37129-2567
Phone: (615) 896-6800
Fax: (615) 695-1483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2682 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2682 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2862 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2682 Tennessee

Profile Details

NPI number 1548247885
LBN Legal business name Mould, Stephen J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 13th, 2023 - about last year

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 1548247885 NPPES
Tennessee MEDICAID Q010356

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