Doctor Name: | MRS. ALISON MONTGOMERY MOORE |
NPI Number: | 1073829180 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 15055 |
Business Practice Address: | 50 Skyline Ln Parsons, TN - 383632345 |
Business Phone Number: | 7318476373 |
Business Fax Number: | 7318478176 |
Mailing Address: | 1665 Sardis Ridge Rd, PARSONS |
State: | TN |
Postal Code: | 383633429 |
Phone Number: | 7317338807 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2010 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 15055 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |