Healthcare Provider Details

I. General information

NPI: 1477482263
Provider Name (Legal Business Name): CORTNEY MOSLEY QBHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10421 W MARKHAM ST STE 300
LITTLE ROCK AR
72205-1583
US

IV. Provider business mailing address

10421 W MARKHAM ST STE 300
LITTLE ROCK AR
72205-1583
US

V. Phone/Fax

Practice location:
  • Phone: 501-603-2147
  • Fax: 501-603-0324
Mailing address:
  • Phone: 501-603-2147
  • Fax: 501-603-0324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: