MEDICARE: DEBBIE MOORE APRN-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APN0000007533	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316021926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIE MOORE APRN-BC

Provider Business Mailing Address
First Line	:	115 N THOMPSON LN
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-4305
Country	:	US
Telephone Number	:	615-896-4482
Fax Number	:	615-896-4472

Provider Business Practice Location Address
First Line	:	1504 WILLIAMS DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-3274
Country	:	US
Telephone Number	:	615-278-2241
Fax Number	:	615-206-7587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	02/25/2021

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Directions to “ DEBBIE MOORE APRN-BC” Practice Location

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