Individual
DARRIA MOORE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 HIGHWAY 23, BELLE CHASSE, LA 70037-2607
(866) 530-6111
Mailing address
2900 INDIANA AVE, KENNER, LA 70065-4605
(504) 657-7261
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218231
LA
Other
Enumeration date
02/10/2021
Last updated
09/04/2025
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