Individual provider · Type 1 NPI

Kristen Moon

Nurse Practitioner · Chattanooga, TN

NPI number 1487321121 Active

Practice location

2333 Mccallie Ave
Chattanooga, TN 37404-3258

Mailing address

9221 Lawford Way Apt 310
Ooltewah, TN 37363-5007

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X30066 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487321121

Kristen Moon's National Provider Identifier is 1487321121, issued on Aug 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chattanooga, TN. The record was last updated on Aug 29, 2021.