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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL C. MOORE, PMHNP FNP-C

Active Sole Proprietor

MR. SAMUEL C. MOORE, PMHNP FNP-C is a Family Nurse Practitioner healthcare provider located in HARTSVILLE, Tennessee. NPI 1659048460 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · HARTSVILLE, TN

Registration Details

NPI Number
1659048460
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2021 (4.945342619023 yrs)
Last Updated
Jun 13, 2025
Licenses
29580 (TN)
29580 (TN)
3016346 (KY)
29580 (TN)
Sole Proprietor
Yes

Practice Information

Address
140 MACON WAY
HARTSVILLE, TN, 370742080
Browse TN providers · Browse ZIP 37074
Phone
6158080400
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Psychiatry
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in HARTSVILLE, TN

Name Credential NPI
MRS. AMANDA S LIVINGSTON NP-C 1225364474
MRS. NELLY O WOLUGBOMS FNP-BC 1073807632
JAMES D CAREY APN 1053854083
MISS KAI-L COBB FNP-C 1477065837
JACOB MICHAEL STEPHENS APRN 1700375136
SHANNON MICHELLE FOREMAN FNP 1306509112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.