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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jeffrey R. Moffett, FNP

Nurse Practitioner in Laurel, MS · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710135629

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Registry record

Entity type Individual (Type 1)
Name Mr. Jeffrey R. Moffett
Credential FNP
Sex Male
Practice address 3115 Audubon Dr, Laurel, MS, 39440
Phone (601) 531-2200
Fax (601) 531-2220
Enumeration date Sep 4, 2008
Last updated in NPPES Jan 14, 2025

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R872112 (MS) Primary
FNP · Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential

Other identifiers

Identifier Type State Issuer
00753295 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Jeffrey Moffett?
Jeffrey Moffett is registered in NPPES with the primary taxonomy of Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-14.