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

Spencer Keith Moore, CW

Individual provider Case Manager/Care Coordinator · NPI 1770928517

Spencer Keith Moore, CW is a Case Manager/Care Coordinator in Jackson, Tennessee. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4436
Phone: (731) 660-7971
Fax: (731) 660-8739
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1770928517
Entity typeIndividual (Type 1)
GenderMale
Credentials CW
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESSeptember 8, 2014
Mailing address2035 Saint John Ave, Dyersburg, TN 38024-2209

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