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NPI Code Detail

MEDICARE: JAMIE LEIGH MOSELEY

MEDICARE: JAMIE LEIGH MOSELEY
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
1172V00000XCommunity Health WorkerCHW1-6222NV

General Provider Information

NPI Number : 1538047782
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LEIGH MOSELEY
Provider Business Mailing Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 702-400-2851
Fax Number :
Provider Business Practice Location Address
First Line : 3215 W CHARLESTON BLVD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2182
Country : US
Telephone Number : 702-400-2851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “ JAMIE LEIGH MOSELEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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