Individual
CARRIE JO MOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
513 WASHINGTON AVE, MANSFIELD, LA 71052-3105
(318) 301-6627
(318) 872-7048
Mailing address
513 WASHINGTON AVE, MANSFIELD, LA 71052-3105
(318) 301-6627
(318) 872-7048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213962
LA
Other
Enumeration date
06/24/2020
Last updated
04/08/2024
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