Tracey Jeannette Moss LPN

NPI 1295971786 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1295971786
Gender Female
Enumeration Date 01/05/2009
Last Updated 01/05/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
650 JOEL DR
FORT CAMPBELL KY, 42223-5318, US
Phone (270) 798-8503
Fax
Business Location
650 JOEL DR
FORT CAMPBELL KY, 42223-5318, US
Phone (270) 798-8503
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Tennessee
License Number 61790
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According to our database, Ms. Tracey Jeannette Moss LPN NPI is 1295971786, taxonomy code is 164W00000X and license number is 61790, license state is located at Tennessee. Tracey Jeannette Moss LPN physically located at 650 Joel Dr, Fort Campbell KY, 42223-5318. NPI Number Tracey Jeannette Moss LPN has the Individual type.

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1295971786 NPI number is provided on an as is basis without warranty of any kind. 1295971786 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Jeannette Moss LPN are for informational purposes only.