Individual
JESSICA P MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
708 S TIMBERLANE DR STE A, EL DORADO, AR 71730-6991
(870) 639-6465
(870) 639-6470
Mailing address
708 S TIMBERLANE DR STE A, EL DORADO, AR 71730-6991
(870) 639-6465
(870) 639-6470
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
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