Individual
MARJORIE S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
14350 HIGHWAY 73, PRAIRIEVILLE, LA 70769-3617
(225) 313-3930
(225) 313-3940
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 313-3930
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
204130
LA
363LF0000X
Family Nurse Practitioner
Primary
204130
LA
Other
Enumeration date
06/10/2019
Last updated
01/22/2026
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