Individual
JESSICA P MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A001882
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1X1863
MEDICARE
AR
05
—
281240758
—
AR
01
—
5Y467
MEDICARE
AR
01
—
A001882
LICENSE
AR
Enumeration date
07/06/2006
Last updated
12/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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