MEDICARE: MRS. JENNIFER B MOBLEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN154040	GA

General Provider Information

NPI Number	:	1932116332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER B MOBLEY NP

Provider Business Mailing Address
First Line	:	5024 TRAVERTINE DR
Second Line	:
City	:	APPLING
State	:	GA
Zip	:	30802-3636
Country	:	US
Telephone Number	:	706-832-0870
Fax Number	:

Provider Business Practice Location Address
First Line	:	2460 WASHINGTON RD
Second Line	:
City	:	THOMSON
State	:	GA
Zip	:	30824-6600
Country	:	US
Telephone Number	:	706-595-1422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/30/2025

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