DERONNA MOORE, PA
Physician Assistant
Active
Individual
NPI: 1487067534
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 2543 (TN) |
Frequently Asked Questions
NPI 1487067534 is the National Provider Identifier for DERONNA MOORE, PA, a Physician Assistant provider located in Kingsport, TN. This NPI was enumerated on June 6, 2014.
DERONNA MOORE, PA practices at 111 W STONE DR STE 110, Kingsport, TN 37660.
Quick Facts
- NPI
- 1487067534
- Type
- Individual
- Enumerated
- Jun 6, 2014
- Last Updated
- Jun 9, 2025
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