person
Mrs. Jaclyn Iris Moss, FNPB-C
Family Nurse Practitioner in Memphis, Tennessee
NPI 1568791259

Jaclyn Iris Moss is a Family Nurse Practitioner based in Memphis, TN and is specialized in Family. Jaclyn Iris Moss practices in Memphis, TN and has the professional credentials of FNPB-C. The NPI Number for Jaclyn Iris Moss is 1568791259 and holds a License No. 14186 (Tennessee).

The current practice location address for Jaclyn Iris Moss is 5482 Fiesta Dr, Memphis, TN and can be reached out via phone at 901-831-1358.

Location: 5482 Fiesta Dr, Memphis, TN, 38120-2827
person
Provider Profile Details
NPI Number
1568791259
Provider Name
Jaclyn Iris Moss
Credential
FNPB-C
Provider Entity Type
Individual
Gender
Female
Address
5482 Fiesta Dr, Memphis, TN, 38120-2827
Phone Number
901-831-1358
Fax Number
Provider Enumeration Date
12/09/2009
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04680711 05 MS
1524904 05 TN
institution
Provider Business Practice Location Address Details
Address
5482 Fiesta Dr
City
State
Zip
38120-2827
Phone Number
901-831-1358
Fax Number
person
Provider Business Mailing Address Details
Address
5482 Fiesta Dr
City
State
Zip
38120-2827
Phone Number
901-831-1358
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
14186 (Tennessee)
Definition
Definition to come...
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