Individual provider · Type 1 NPI

Joseph P. Moore

Student in an Organized Health Care Education/Training Program · Lebanon, TN

NPI number 1740124437 Active

Practice location

1 Cumberland Sq
Lebanon, TN 37087-3408

Mailing address

1194 Mimosa Ct
Lebanon, TN 37087-1728

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740124437

Joseph P. Moore's National Provider Identifier is 1740124437, issued on Apr 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, TN. The record was last updated on Apr 15, 2026.