JORIE J. MOBERLEY PHD CPNP NPI 1093717746

NPI Information

NPI: 1093717746
Provider Name: JORIE J. MOBERLEY, PHD, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
9470 BROADWAY
CROWN POINT, IN
ZIP 46307
Phone: (219) 661-3260
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Jorie J. Moberley, PHD, CPNP is a pediatrics nurse practitioner in Crown Point, IN. Jorie J. Moberley, PHD, CPNP NPI is 1093717746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9470 BROADWAY
CROWN POINT, IN
ZIP 46307-722
Phone: (219) 661-3260
Fax: (219) 661-3770

The NPI 1093717746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 7/31/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	28142503A	INDIANA	No
2	363L00000X	Nurse Practitioner		71002006A	INDIANA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	71002006A	INDIANA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200206460	MEDICAID	INDIANA
2	000000721668	OTHER	INDIANA	ANTHEM TRADITIONAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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