Organization
MOBLEY MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PATE MOBLEY CNP (MEMBER/OWNER)
(870) 639-6465
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1X1853
MEDICARE
AR
05
—
281608762
—
AR
Enumeration date
11/17/2021
Last updated
12/18/2024
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