Individual provider · Type 1 NPI
Kristina Moore, PA-C
Surgical Physician Assistant · Lebanon, TN
NPI number
1043615644
Active
Practice location
100 Physicians Way, Suite 110
Lebanon, TN 37090-8102
Fax (615) 547-6707
Mailing address
PO Box 370
Fortson, GA 31808-0370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
21 other providers at this address
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- Summit Convenient Care at Lebanon LLCNurse Practitioner Lebanon, TN NPI 1568627271
- Uap Lebanon Endo, LLCCertified Registered Nurse Anesthetist Lebanon, TN NPI 1134471725
- Andre C. Olivier, MDCardiovascular Disease Physician Lebanon, TN NPI 1558386771
- Ann Marie Beadle, ACNPAcute Care Nurse Practitioner Lebanon, TN NPI 1679574180
- Casey Paige Lewis, PHARM. DPharmacotherapy Pharmacist Lebanon, TN NPI 1538407127
- Janet Daily, APNFamily Nurse Practitioner Lebanon, TN NPI 1467737999
- Jeffrey E. Hazlewood, MDPhysical Medicine & Rehabilitation Physician Lebanon, TN NPI 1396789269
Other surgical physician assistant providers in Lebanon
About NPI 1043615644
Kristina Moore, PA-C's National Provider Identifier is 1043615644, issued on Oct 27, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lebanon, TN. The record was last updated on Jun 4, 2020.