Moseley Jaeger, Mary Nicole

Moseley Jaeger, Mary Nicole is an sole proprietor health care provider with primary practice located at 571 S Floyd St Ste 342, Louisville KY 40202-3818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Moseley Jaeger, Mary Nicole can be contacted via phone (502) 852-8470.

Contact Information

Primary practice address
571 S Floyd St Ste 342 Louisville KY 40202-3818
Phone: (502) 852-8470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 1112372 Kentucky

Profile Details

NPI number 1467656876
LBN Legal business name Moseley Jaeger, Mary Nicole
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Oct 26th, 2020 - about 4 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 1467656876 NPPES
Kentucky Other 1112372 NURSE'S LICENSE (RN)
Kentucky Other 3005194 NURSE'S LICENSE (RN)

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