Individual
MRS. BRIGETTE WOODRUFF MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7330 FERN AVE, UNIT 1103, SHREVEPORT, LA 71105-4971
(318) 990-1092
Mailing address
7330 FERN AVE, UNIT 1103, SHREVEPORT, LA 71105-4971
(318) 990-1092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08710
LA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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