Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Moore, MAED

Individual provider Specialist · NPI 1962631317

Angela Moore, MAED is a Specialist in Jackson, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

47 Murray Guard Dr Ste B
Jackson, TN 38305-3765
Phone: (731) 668-0881
Fax: (731) 668-0884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5514445 (TN)

Record details

NPI number1962631317
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAED
Sole proprietorYes
NPI enumeratedJuly 7, 2009
Last updated in NPPESJuly 7, 2009

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