Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dusharme Lakiva-Ann Moore, NP

Individual provider Family Nurse Practitioner · NPI 1386367092

Dusharme Lakiva-Ann Moore, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2021, 5 years ago. Practices with Reddix Family Clinic PA, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6501 Dogwood View Pkwy Ste B
Jackson, MS 39213-7857
Phone: (601) 899-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 905573 (MS)

Record details

NPI number1386367092
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESApril 5, 2026
Certification dateApril 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Reddix Family Clinic Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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