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Individual

AMANDA DAVIS MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, ANP-C

Contact information

Practice address
10880 JOOR RD, BATON ROUGE, LA 70818-3909
(225) 367-4122
(225) 367-4092
Mailing address
10880 JOOR RD, BATON ROUGE, LA 70818-3909
(225) 367-4122
(225) 367-4092

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
TAP002933
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06967
LA

Other

Enumeration date
07/02/2012
Last updated
06/06/2022
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