MR. Samuel C. Moore, PMHNP FNP-C
NPI #1659048460 in Hartsville, Tennessee
Provider Information
- NPI Number
- 1659048460
- Entity Type
- Individual
- Name
- MR. Samuel C. Moore, PMHNP FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- PMHNP FNP-C
- Enumeration Date
- Aug 28, 2021
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 140 MACON WAY
- City
- Hartsville
- State
- Tennessee
- ZIP Code
- 37074-2080
- Phone
- (615) 808-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Nurse Practitioner - Family — Family |
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