Moore, Timothy Alan

Moore, Timothy Alan is an individual health care provider with primary practice located at 115 N Thompson Ln , Murfreesboro TN 37129-4305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Moore, Timothy Alan can be contacted via phone (615) 896-4482.

Contact Information

Primary practice address
115 N Thompson Ln Murfreesboro TN 37129-4305
Phone: (615) 896-4482
Fax: (615) 896-4472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN0000007885 Tennessee

Profile Details

NPI number 1932289535
LBN Legal business name Moore, Timothy Alan
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1932289535 NPPES
Tennessee MEDICAID 03929438

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