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Contact Information

SHANNON L MOE, RN, APRN FNP-C
1514 DOCTORS DR
BOSSIER CITY, LA71111-3379
 Phone: 318-549-2500
 Fax: 318-549-2555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for SHANNON L MOE · (Female)

NPI # 1255949921
Status Active
Credentials RN, APRN FNP-C
Entity Individual
Enumeration date 07/20/2020
Last updated 02/22/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 214569
  • LA License # RN119419
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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