| Mrs Courtney F Moberley, NP-C | |
|
900 Johnson St Ste A, Tallulah, LA 71282-4537 | |
| (318) 574-5080 | |
| (318) 574-5052 |
| Full Name | Mrs Courtney F Moberley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 900 Johnson St Ste A, Tallulah, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164406567 | NPI | - | NPPES |
| 1722227 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP04825 (Louisiana) | Primary |
| Entity Name | Madison Parish Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093834608 PECOS PAC ID: 6305854878 Enrollment ID: O20080430000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Courtney F Moberley, NP-C 900 Johnson St Ste A, Tallulah, LA 71282-4537 Ph: (318) 574-5080 | Mrs Courtney F Moberley, NP-C 900 Johnson St Ste A, Tallulah, LA 71282-4537 Ph: (318) 574-5080 |
Towana Ferguson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Crothers Dr, Tallulah, LA 71282 Phone: 318-574-8111 Fax: 318-434-6023 | |
Kathy G Corbin, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 804 N Beech St, Tallulah, LA 71282 Phone: 318-238-1274 Fax: 337-239-2225 | |
Haley Erwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Johnson St, Tallulah, LA 71282 Phone: 318-574-2374 | |
Stevie Burney, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Johnson St, Tallulah, LA 71282 Phone: 318-574-5080 Fax: 318-574-3805 | |
Ms. Latayatacha O Freeman-ross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Johnson Street, Suite A, Tallulah, LA 71282 Phone: 318-574-5080 Fax: 318-574-5052 | |
Christal S Florice, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Johnson St, Tallulah, LA 71282 Phone: 318-574-4731 Fax: 318-574-4739 |