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Jorie J. Moberley, PHD,CPNP
Pediatric Nurse Practitioner in Crown Point, Indiana
NPI 1093717746

Jorie J. Moberley is a Pediatric Nurse Practitioner based in Detroit, IN and is specialized in Pediatrics. Jorie J. Moberley practices in Crown Point, IN and has the professional credentials of PHD,CPNP. The NPI Number for Jorie J. Moberley is 1093717746 and holds a License No. 28142503A (Indiana).

The current practice location address for Jorie J. Moberley is 9470 Broadway, Crown Point, IN and can be reached out via phone at 219-661-3260 and via fax at 219-661-3770. You can also correspond with Jorie J. Moberley through the mailing address at PO BOX 781076, DETROIT, MI - 48278-1076 (mailing address contact number: 317-528-4800).

Location: 9470 Broadway, Crown Point, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093717746
Provider Name
Jorie J. Moberley
Credential
PHD,CPNP
Provider Entity Type
Individual
Gender
Female
Address
9470 Broadway, Crown Point, IN, 48278-1076
Phone Number
219-661-3260
Fax Number
219-661-3770
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200206460 05 IN
000000721668 01 IN ANTHEM TRADITIONAL
institution
Provider Business Practice Location Address Details
Address
9470 Broadway
City
Crown Point
State
Indiana
Zip
46307-5722
Phone Number
219-661-3260
Fax Number
219-661-3770
person
Provider Business Mailing Address Details
Address
Po Box 781076
City
Detroit
State
Michigan
Zip
48278-1076
Phone Number
317-528-4800
Fax Number
317-865-1479
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
71002006A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71002006A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
28142503A (Indiana)
Definition
Definition to come...
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