JENNIFER MOFFITT


Address: 26 E Meadow St Ste 1, Fayetteville, AR 72701-5357
Phone: 4797906290

JENNIFER MOFFITT (NPI# 1669642989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
08-10EI AR Behavioral Health & Social Service Providers

Other Providers JENNIFER MOFFITT

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1033154547 Jennifer Lynn Moffitt Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2006-06-18

Office Location

Street Address 26 E MEADOW ST STE 1
City FAYETTEVILLE
State AR
Zip Code 72701-5357

Providers in the same location

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

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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
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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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

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.

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