IndividualActive
Bailey Moore, PA
NPI 1790441533 · Physician Assistant · Crossville, TN
Provider details
- NPI number
- 1790441533
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 4800 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Phone: (931) 484-6061
Fax: (931) 484-6062
Approximate (ZIP-level) locationGet directions
Mailing address
29 Taylor Ave Ste 101
Crossville, TN 38555-4536
Additional practice locations (1)
- 303 N Oak AveCookeville, TN 38501-2439Phone: (931) 484-6061Fax: (931) 484-6062
Registry dates
- Enumerated
- 2021-11-16
- Last updated
- 2021-11-16
- Certified
- 2021-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.