Mosley, Courtney Layne
Mosley, Courtney Layne is an sole proprietor health care provider with primary practice located at 3901 Parkway Cir , Springdale AR 72762-6362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mosley, Courtney Layne can be contacted via phone (479) 587-1700.Contact Information
Primary practice address
3901 Parkway Cir
Springdale AR 72762-6362
Phone: (479) 587-1700
Fax: (479) 587-1366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 312218 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-642 | Arkansas |
Profile Details
| NPI number | 1942671730 |
|---|---|
| LBN Legal business name | Mosley, Courtney Layne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2015 |
| Last updated | Jan 31st, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942671730 | NPPES |
| Arkansas | MEDICAID | 210351795 |
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