Individual
TYEASE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4611 HARD SCRABBLE RD STE 189, COLUMBIA, SC 29229-8584
(856) 562-2070
Mailing address
4611 HARD SCRABBLE RD STE 189, COLUMBIA, SC 29229-8584
(856) 562-2070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11006645
FL
363L00000X
Nurse Practitioner
23346
SC
363L00000X
Nurse Practitioner
Primary
26NJ01007600
NJ
363L00000X
Nurse Practitioner
61059866
WA
363L00000X
Nurse Practitioner
95014690
CA
363L00000X
Nurse Practitioner
AC003168
MD
363L00000X
Nurse Practitioner
RN290790
GA
Other
Enumeration date
10/25/2019
Last updated
11/01/2020
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