Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN MOORE, PHYSICIAN ASSISTANT
Active Sole ProprietorMR. JUSTIN MOORE, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in SHREVEPORT, Louisiana. NPI 1831743699 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1831743699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2019 (6.9996804225461 yrs)
- Last Updated
- May 23, 2025
- License
-
346971 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1541 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 8705100171
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MARY MCFERREN | PA-C | 1114924404 |
| DEBORAH SUSAN HOLLIS | PA-C | 1871586784 |
| MRS. JEANNIE SHIM MCALLISTER | PA-C | 1831172931 |
| MR. DAVID STANLEY STATON | PA-C | 1487616538 |
| SHIVA DOTY | PA-C | 1912933110 |
| TINA FAITH GENTRY | PA | 1730118365 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.