IndividualActive
Jackie Moore
NPI 1710455159 · Adult Companion · Baton Rouge, LA
Provider details
- NPI number
- 1710455159
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
8550 United Plaza Blvd Ste 702
Baton Rouge, LA 70809-0200
Phone: (225) 963-6688
Fax: (225) 963-6688
Approximate (ZIP-level) locationGet directions
Mailing address
8550 United Plaza Blvd Ste 702
Baton Rouge, LA 70809-0200
Registry dates
- Enumerated
- 2018-11-04
- Last updated
- 2018-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.