Doctor Name: | SHARON MOORE |
NPI Number: | 1255396859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN0000005418 |
Business Practice Address: | 8081 Us Highway 51 N Millington, TN - 380531730 |
Business Phone Number: | 9018734194 |
Business Fax Number: | 9013471333 |
Mailing Address: | 8081 Us Highway 51 N, MILLINGTON |
State: | TN |
Postal Code: | 380531730 |
Phone Number: | 9018734194 |
Fax Number: | 9013471333 |
NPI Enumeration Date: | 04/18/2006 |
NPI Last Update Date: | 09/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000005418 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |