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MOORE MEDICAL CLINIC LLC
NPI 1801250667
Nurse Practitioner - Family in Friendship, TN

Active since April 07, 2016
600 MAIN ST, FRIENDSHIP, TN 38034(731) 677-3400(731) 677-3402 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moore Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOORE MEDICAL CLINIC LLC (NPI 1801250667) is a healthcare organization registered as a family in Friendship, Tennessee and active in the NPI registry since April 2016. The organization lists Phyllis Park Moore, Dnp/ Owner, as its authorized official.

NPPES Registry Identity

NPI1801250667
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMOORE MEDICAL CLINIC LLC
Location Address600 MAIN STFriendship, TN 38034-1999
Mailing Address600 Main St, P. O. Box 41Friendship, TN 38034-1999 · (731) 677-3400 · Fax (731) 677-3402
Phone(731) 677-3400
Fax(731) 677-3402
Organization SubpartNo
Authorized OfficialPhyllis Park MooreDnp/ Owner · (731) 617-1883
Enumeration DateApril 7, 2016
✔ NPI 1801250667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 16606
600 MAIN ST, Friendship, TN 38034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYLLIS P MOORE DNP,FNP-BC
Nurse Practitioner (Family)
600 MAIN ST
FRIENDSHIP, TN 38034
Crockett County (731) 677-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moore Medical Clinic LLC's NPI number?

The NPI number for Moore Medical Clinic LLC is 1801250667. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Moore Medical Clinic LLC located?

Moore Medical Clinic LLC is located at 600 Main St, Friendship, TN 38034. The listed phone number is (731) 677-3400.

What is Moore Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Moore Medical Clinic LLC was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.