Individual provider · Type 1 NPI

Marissa Moore, MD

Family Medicine Physician · Mandeville, LA

NPI number 1295297638 Active

Practice location

201 Saint Ann Dr Ste B
Mandeville, LA 70471-3472

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X333248 (LA)
Family Medicine Physician Primary 207Q00000X4301514377 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1295297638

Marissa Moore, MD's National Provider Identifier is 1295297638, issued on Apr 4, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mandeville, LA. The record was last updated on Sep 12, 2026.