person
Mrs. Kathleen D Moore, CNP
Family Nurse Practitioner in Monroe, Louisiana
NPI 1205975844

Kathleen D Moore is a Family Nurse Practitioner based in Monroe, LA and is specialized in Family. Kathleen D Moore practices in Monroe, LA and has the professional credentials of CNP. The NPI Number for Kathleen D Moore is 1205975844 and holds a License No. RN042413-2796 (Louisiana).

The current practice location address for Kathleen D Moore is 4864 Jackson St, Monroe, LA and can be reached out via phone at 318-330-7626 and via fax at 318-330-7648.

Location: 4864 Jackson St, Monroe, LA, 71202-6400
person
Provider Profile Details
NPI Number
1205975844
Provider Name
Kathleen D Moore
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
4864 Jackson St, Monroe, LA, 71202-6400
Phone Number
318-330-7626
Fax Number
318-330-7648
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1541834 05 LA
institution
Provider Business Practice Location Address Details
Address
4864 Jackson St
City
State
Zip
71202-6400
Phone Number
318-330-7626
Fax Number
318-330-7648
person
Provider Business Mailing Address Details
Address
4864 Jackson St
City
State
Zip
71202-6400
Phone Number
318-330-7626
Fax Number
318-330-7648
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN042413-2796 (Louisiana)
Definition
Definition to come...
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