Individual provider · Type 1 NPI

Dusharme Lakiva-Ann Moore, NP

Family Nurse Practitioner · Jackson, MS

NPI number 1386367092 Active

Practice location

6501 Dogwood View Pkwy Ste B
Jackson, MS 39213-7857

Call (601) 899-3317 Map

Other practice locations

  • 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 · (662) 628-6611

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X905573 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1386367092

Dusharme Lakiva-Ann Moore, NP's National Provider Identifier is 1386367092, issued on Sep 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Sep 4, 2026.