Mrs. Jennifer Lynn Moffitt
Nurse Practitioner - Neonatal
2500 N State St
Jackson
, Mississippi 39216-4500
Mrs. Jennifer Lynn Moffitt
Nurse Practitioner - Neonatal
2500 N State St
Jackson
, Mississippi 39216-4500
(601) 815-7100
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Lynn Moffitt
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Phone : (601) 815-7100
Second Address
- Mrs. Jennifer Lynn Moffitt
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 815-6987
- Phone : (601) 815-7100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | R570346 | MS |
National Provider Identifier
| NPI | 1033154547 |
|---|---|
| Provider Name | Mrs. Jennifer Lynn Moffitt |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Jackson, MS 39216-4500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2006 |
| Last Update Date | 17/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00122704 | (05) | MS |
| 1433161 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.