MOBLEY MEDICAL CLINIC PLLC NPI 1871250555

NPI Information

MOBLEY MEDICAL CLINIC PLLC is an acute care nurse practitioner in El Dorado, AR. MOBLEY MEDICAL CLINIC PLLC NPI is 1871250555. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1906 W HILLSBORO ST STE B
EL DORADO, AR
ZIP 71730-806
Phone: (870) 639-6465
Fax: (870) 639-6470

The provider's authorized official is Jessica Pate Mobley .
The authorized official title is Member/owner and has the following contact phone number (870) 639-6465.

The CLIA number assigned to this NPI record is 04D2241913 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 5/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.