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NPI 1962631317

IndividualActive

Angela Moore, MAED

NPI 1962631317 · Specialist · Jackson, TN

Provider details

NPI number: 1962631317
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: MAED
Sex: Female
Sole proprietor: Yes
License: 5514445 (TN)

Practice location

47 Murray Guard Dr Ste B

Jackson, TN 38305-3765

Phone: (731) 668-0881

Fax: (731) 668-0884

More TN providers

Mailing address

47 Murray Guard Dr Ste B

Jackson, TN 38305-3765

Registry dates

Enumerated: 2009-07-07
Last updated: 2009-07-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Angela Moore, MAED — NPI 1962631317, Jackson, TN | NPI Central