Healthcare Provider Details

I. General information

NPI: 1497844260
Provider Name (Legal Business Name): VALERY LYNN MORA PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERY MORA KEPLEY PA

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8903 CLEAR SPRINGS RD
OAK RIDGE NC
27310-9809
US

IV. Provider business mailing address

8903 CLEAR SPRINGS RD
OAK RIDGE NC
27310-9809
US

V. Phone/Fax

Practice location:
  • Phone: 336-420-2183
  • Fax:
Mailing address:
  • Phone: 364-202-1833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number102118
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number102118
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: