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ANGELA MOORE MAED
NPI 1962631317
Specialist in Jackson, TN

Active since July 07, 2009
47 MURRAY GUARD DR STE B, JACKSON, TN 38305(731) 668-0881(731) 668-0884 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Moore Maed NPPES

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

ANGELA MOORE MAED (NPI 1962631317) is an individual specialist in Jackson, Tennessee, licensed in Tennessee (5514445) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1962631317
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANGELA MOORECredential: MAED
Location Address47 MURRAY GUARD DR STE BJackson, TN 38305-3765
Mailing Address47 Murray Guard Dr Ste BJackson, TN 38305-3765 · (731) 668-0881 · Fax (731) 668-0884
Phone(731) 668-0881
Fax(731) 668-0884
Sole ProprietorYes
Enumeration DateJuly 7, 2009
✔ NPI 1962631317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 5514445
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
47 MURRAY GUARD DR STE B, Jackson, TN 38305
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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.

LEARNING ACHIEVEMENT CENTER
Specialist
47 MURRAY GUARD DR STE B
JACKSON, TN 38305
Madison County (731) 668-0881

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 Angela Moore's NPI number?

The NPI number for Angela Moore is 1962631317. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Angela Moore located?

Angela Moore practices at 47 Murray Guard Dr Ste B, Jackson, TN 38305. The listed phone number is (731) 668-0881.

What is Angela Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angela Moore was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.