Individual
COURTLYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3939 HOUMA BLVD STE 18, METAIRIE, LA 70006-2921
(504) 300-9019
Mailing address
3939 HOUMA BLVD STE 18, METAIRIE, LA 70006-2921
(504) 300-9019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
349248
LA
Other
Enumeration date
08/26/2025
Last updated
11/13/2025
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