CARRIE JO MOTON


Address: 149 Stone Creek Rd, Stonewall, LA 71078-4906
Phone: 3186883350

CARRIE JO MOTON (NPI# 1184240293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184240293
Entity Type Individual
Full Name CARRIE JO MOTON
Credential FNP-BC
Practice Address 149 Stone Creek Rd
Stonewall
LA 71078-4906
Practice Telephone 3186883350
Practice Fax Number 3183004449
Mailing Telephone 3186883350
Mailing Fax Number 3183004449
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
213962 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 149 STONE CREEK RD
City STONEWALL
State LA
Zip Code 71078-4906

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1982033858 Stonewall Family Pharmacy Pharmacy 160 Stonecreek Dr, Suite C, Stonewall, LA 71078 2013-11-01
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1851849293 Lejasmine Hall Counselor 671 Hwy 171 Suite C, Stonewall, LA 71078 2016-09-14
1649810870 Robin Carroll Counselor 283 Sandpiper Ln, Stonewall, LA 71078-2805 2020-01-15
1720434137 D N L Outpatient Rehab, LLC Community/Behavioral Health 671 Hwy 171 Suite C, Stonewall, LA 71078-3312 2016-05-04
1053705814 Ltc Specialty Pharmacy 2068 Highway 171, Suite 5, Stonewall, LA 71078-3905 2015-03-19
1093177263 Lucy Smith Counselor 327 Lesa Ln, Stonewall, LA 71078-4405 2016-03-25
1952634818 Holly Renee' Russo Registered Nurse 158 Tanner St, Stonewall, LA 71078-4455 2009-09-10
1013429661 Megan Brooke English Family Medicine 160 Stone Creek Rd, Stonewall, LA 71078-4906 2017-11-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City STONEWALL
Zip Code 71078

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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