Jessica Mae Moody is a Medical in Phoenix, Arizona. Jessica Mae Moody practices all healthcare services and medical treatments related to Medical. The NPI Number for Jessica Mae Moody is 1043349400. The last update date is 2023-03-31.
Jessica Mae Moody's current location address is 28727 N 20th Ave, Phoenix, Arizona. You can contact this provider via phone number 5207800129. The mailing address for Jessica Mae Moody is 28727 N 20th Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Mae Moody |
|---|---|
| Address | 28727 N 20th Ave, Phoenix, Arizona |
| Phone Number | 5207800129 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1043349400 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2023-03-31 |
Provider Mailing Address Detail
| Address | 28727 N 20th Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850850727 |
| Phone Number | 5207800129 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 3474 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Jessica Mae Moody's 1043349400?
The Jessica Mae Moody's NPI (National Provider Identifier) Number is 1043349400. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jessica Mae Moody is physically located?
The Jessica Mae Moody is situated at the following address: 28727 N 20Th Ave, Phoenix, AZ 850850727.
What is Jessica Mae Moody's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica Mae Moody is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Jessica Mae Moody receive the assignment of its 1043349400 from the Centers for Medicare & Medicaid Services?
The Jessica Mae Moody was issued its 1043349400 by the Centers for Medicare & Medicaid Services on 2007-03-03.
When was the information pertaining to Jessica Mae Moody most recently updated or revised?
The details related to Jessica Mae Moody, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-31.