Individual
ERIKA JAY MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE STE D201, LEXINGTON, KY 40536-3771
(859) 323-0079
(859) 323-8173
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017610
KY
363LF0000X
Family Nurse Practitioner
804551
TX
363LF0000X
Family Nurse Practitioner
COA.17284-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804551
NURSING LICENSE
TX
Enumeration date
09/12/2014
Last updated
10/29/2024
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