Individual
JENNIFER E MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8001 YOUREE DR STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Mailing address
8001 YOUREE DR STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
215500
OK
363LA2100X
Acute Care Nurse Practitioner
239806
LA
363LA2100X
Acute Care Nurse Practitioner
957662
TX
Other
Enumeration date
09/29/2023
Last updated
04/03/2025
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