JENNIFER MOFFITT (NPI# 1669642989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669642989 |
Entity Type | Individual |
Full Name | JENNIFER MOFFITT |
Other Name | JENNIFER EWBANK |
Credential | LPE-I |
Practice Address |
26 E Meadow St Ste 1 Fayetteville AR 72701-5357 |
Mailing Address |
Po Box 10681 Fayetteville AR 72703-0046 |
Practice Telephone | 4797906290 |
Practice Fax Number | 4794399943 |
Mailing Telephone | 4797906290 |
Mailing Fax Number | 4794399943 |
Enumeration Date | 2008-03-03 |
Last Update Date | 2018-10-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
08-10EI | AR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275884124 | Jennifer Prugh Moffitt | Occupational Therapist | 1600 Ne 5th Ave, Pompano Beach, FL 33060-5727 | 2012-10-01 |
1255368775 | Jennifer Marie Moffitt | Acupuncturist | 2810 Camino Del Rio S, #102, San Diego, CA 92108-3818 | 2006-06-28 |
1033154547 | Jennifer Lynn Moffitt | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-18 |
Street Address |
26 E MEADOW ST STE 1 |
City | FAYETTEVILLE |
State | AR |
Zip Code | 72701-5357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265860985 | Northwest Arkansas Assessment and Therapy Services, Pllc | Psychologist | 26 E Meadow St Ste 1, Fayetteville, AR 72701-5357 | 2013-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
Find all providers in zip 72701 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154969657 | Kathleen Ratcliff Andrews | Psychologist | 2300 Ramsey St # B51t, Fayetteville, NC 28301-3856 | 2019-12-16 |
1740757731 | Dia Boutwell | Psychologist | 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 | 2018-10-27 |
1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
1538578992 | Nicole Dreiling | Psychologist | 351 Wagoner Dr Ste 130, Fayetteville, NC 28303-4669 | 2014-08-10 |
1255627717 | Colleen Quinn | Psychologist | 200 Mason St, 2nd Floor, Fayetteville, NC 28301-5041 | 2011-06-23 |
1518278373 | Ingrid Jacobs | Psychologist | 1 E Center St Ste 333, Fayetteville, AR 72701-5349 | 2010-06-27 |
1427372119 | Sandra V Heinsz | Psychologist | 290 Ashborough Park, Fayetteville, GA 30215-6514 | 2010-03-24 |
1134361546 | Elizabeth E Knowles, Ph.d., Pa | Psychologist | 4241 N Gabel Dr, Fayetteville, AR 72703-5004 | 2009-03-31 |
1982846671 | Louis P. Anderson | Psychologist | 120 Michael Ct, Fayetteville, GA 30215-1846 | 2009-03-27 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 72701 |
Please comment or provide details below to improve the information on JENNIFER MOFFITT.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.