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

Jerica Moore, MA, ATC

Individual provider Athletic Trainer · NPI 1174014450

Jerica Moore, MA, ATC is an Athletic Trainer in Johnson City, Tennessee. Practices as a sole proprietor and works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1041 Hamiltion Place Dr
Johnson City, TN 37604
Phone: (423) 707-2509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3314 Wayfield Dr Ste 3, Johnson City, TN 37601-1907 — (863) 381-8342

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2009 (TN)

Record details

NPI number1174014450
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , ATC
Sole proprietorYes
NPI enumeratedMay 23, 2018
Last updated in NPPESMay 23, 2018
Mailing address421 Highland Ave Apt B, Johnson City, TN 37604-6847

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