Organization
CORNERSTONE CHILDRENS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI R MOODY NP (OWNER/NP)
(985) 320-9734
Entity
Organization
Contact information
Practice address
44546 S AIRPORT RD STE F, HAMMOND, LA 70403-0312
(225) 567-2812
(225) 567-2812
Mailing address
30892 HIGHWAY 43, ALBANY, LA 70711-2814
(225) 567-2812
(225) 567-2812
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
Update your record
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