Individual provider · Type 1 NPI
Jessica Lynn Otto, ARNP
Family Nurse Practitioner · Moody Afb, GA
NPI number
1497196158
Active
Practice location
3280 Mitchell Blvd
Moody Afb, GA 31699-5638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9247352 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9247352 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497196158
Jessica Lynn Otto, ARNP's National Provider Identifier is 1497196158, issued on Jul 10, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moody Afb, GA. The record was last updated on Jul 7, 2026.