Individual provider · Type 1 NPI

Jeffrey R. Moffett, FNP

Nurse Practitioner · Laurel, MS

NPI number 1710135629 Active

Practice location

3115 Audubon Dr
Laurel, MS 39440

Fax (601) 531-2220

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	R872112 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710135629

Jeffrey R. Moffett, FNP's National Provider Identifier is 1710135629, issued on Sep 4, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Laurel, MS. The record was last updated on Jan 14, 2025.