Samantha Nichole Moore
Home Health Aide in Jackson, TN. Individual provider (NPI-1).
NPI number1841118924
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1841118924
- Entity type
- Individual (NPI-1)
- Name
- Samantha Nichole Moore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | TN | Yes |
Practice location
100 Rich Smith Way # 409Jackson, TN 38301-2641
Phone 731-267-7681
Mailing address
100 Rich Smith Way # 409Jackson, TN 38301-2641
Phone 731-267-7681
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Home Health Aide providers in Jackson, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.