Dr WHITNEY JACKSON MOORE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
187 W MAIN ST
DECATURVILLE
TN
383298078
Tel: 7318522761
| Npi | 1427560531 |
| Pac Id | 4587927538 |
| Professional Enrollment Id | I20180404002359 |
| Last Name | MOORE |
| First Name | WHITNEY |
| Middle Name | JACKSON |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
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| Organization Legal Name | CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE |
| Group Practice Pac Id | 3971872284 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 187 W MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DECATURVILLE |
| State | TN |
| Zip Code | 383298078 |
| Phone Number | 7318522761 |
| Hospital Affiliation Ccn 1 | 440070 |
| Hospital Affiliation Lbn 1 | DECATUR COUNTY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 440002 |
| Hospital Affiliation Lbn 2 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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