IndividualActive
Courtney Moberley, NP-C
NPI 1164406567 · Family Nurse Practitioner · Tallulah, LA
Provider details
- NPI number
- 1164406567
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- AP04825 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 Johnson St Ste a
Tallulah, LA 71282-4537
Phone: (318) 574-5080
Fax: (318) 574-5052
Approximate (ZIP-level) locationGet directions
Mailing address
900 Johnson St Ste a
Tallulah, LA 71282-4537
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.