Moberley, Jorie J.

Moberley, Jorie J. is an individual health care provider with primary practice located at 9470 Broadway , Crown Point IN 46307-5722. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Moberley, Jorie J. can be contacted via phone (219) 661-3260.

Contact Information

Primary practice address
9470 Broadway Crown Point IN 46307-5722
Phone: (219) 661-3260
Fax: (219) 661-3770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 28142503A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002006A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71002006A Indiana

Profile Details

NPI number 1093717746
LBN Legal business name Moberley, Jorie J.
Credentials PHD, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jul 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093717746 NPPES
Indiana MEDICAID 200206460
Indiana Other 000000721668

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