Provider Demographics
NPI:1922588185
Name:MOORE, ERIN FRANCIS (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:FRANCIS
Last Name:MOORE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:FRANCIS
Other - Last Name:RAINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N STE 601
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5601
Mailing Address - Country:US
Mailing Address - Phone:615-284-5887
Mailing Address - Fax:615-284-2036
Practice Address - Street 1:9880 ANGIES WAY STE 350
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2852
Practice Address - Country:US
Practice Address - Phone:502-629-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24505363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ044900Medicaid
TNINPROCESSOtherTN MEDICARE