Individual
COURTNEY LAYNE MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 PARKWAY CIR, SPRINGDALE, AR 72762-6362
(479) 587-1700
(479) 587-1366
Mailing address
3901 PARKWAY CIR, SPRINGDALE, AR 72762-6362
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
312218
LA
363AM0700X
Medical Physician Assistant
Primary
PA-642
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210351795
—
AR
Enumeration date
10/19/2015
Last updated
01/31/2024
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