Individual
JENNA NICOLE MOULIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 YORKTOWN DR STE A, ALEXANDRIA, LA 71303-3673
(318) 542-4288
(318) 704-6201
Mailing address
109 YORKTOWN DR STE A, ALEXANDRIA, LA 71303-3673
(318) 542-4288
(318) 704-6201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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