Individual
DUSHARME LAKIVA-ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6501 DOGWOOD VIEW PKWY STE B, JACKSON, MS 39213-7857
(601) 899-3317
Mailing address
6501 DOGWOOD VIEW PKWY STE B, JACKSON, MS 39213-7857
(601) 899-3317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905573
MS
Other
Enumeration date
09/20/2022
Last updated
04/05/2026
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