Individual provider · Type 1 NPI

Kaitlyn Roberts Mozingo, FNP

Nurse Practitioner · Rock Hill, SC

NPI number 1881576502 Active

Practice location

2633 Celanese Rd
Rock Hill, SC 29732-1205

Call (803) 325-1770 Map

Fax (803) 325-1790

Mailing address

4250 Edgeland Rd
Edgemoor, SC 29712-7734

Specialties and licenses

Taxonomy	Code	License
Primary Care Nurse Practitioner	363LP2300X	30720 (SC)
Nurse Practitioner Primary	363L00000X	30720 (SC)

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 1881576502

Kaitlyn Roberts Mozingo, FNP's National Provider Identifier is 1881576502, issued on Jul 23, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rock Hill, SC. The record was last updated on Jul 28, 2025.