JACOB MOORE

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1154214815

Practice Address

1501 KINGS HWY
Shreveport, LA 71103

Phone: (318) 626-0434

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1154214815 is the National Provider Identifier for JACOB MOORE, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on June 2, 2025.
JACOB MOORE practices at 1501 KINGS HWY, Shreveport, LA 71103.

Quick Facts

NPI
1154214815
Type
Individual
Enumerated
Jun 2, 2025
Last Updated
Jun 2, 2025

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