Individual provider · Type 1 NPI

Samuel C. Moore, FNP-C

Family Nurse Practitioner · Lafayette, TN

NPI number 1659048460 Active

Practice location

502 Ellington Dr
Lafayette, TN 37083-1697

Call (615) 561-1042 Map

Fax (615) 561-1043

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X29580 (TN)
Family Nurse Practitioner 363LF0000X3016346 (KY)
Family Medicine Physician 207Q00000X29580 (TN)
Family Nurse Practitioner Primary 363LF0000X29580 (TN)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1659048460

Samuel C. Moore, FNP-C's National Provider Identifier is 1659048460, issued on Aug 28, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, TN. The record was last updated on Sep 28, 2026.