JEFFREY R. MOFFETT

LAUREL, MS
NPI1710135629
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R872112)
Enumeration Date2008-09-04
Last Update Date2019-04-04
Business Address
Mr. JEFFREY R. MOFFETT FNP
3115 AUDUBON DR
LAUREL, MS 39440
Phone number: 601-531-2200
Mailing Address
Mr. JEFFREY R. MOFFETT FNP
3115 AUDUBON DR
LAUREL, MS 39440-1913
Phone number: 601-531-2200
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