Provider Demographics
NPI:1508043951
Name:MOSLEY, MARGARET COX (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:COX
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MEGANN
Other - Middle Name:
Other - Last Name:MOSLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 23457
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39225-3457
Mailing Address - Country:US
Mailing Address - Phone:601-200-3631
Mailing Address - Fax:601-200-0166
Practice Address - Street 1:969 LAKELAND DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4606
Practice Address - Country:US
Practice Address - Phone:601-200-3631
Practice Address - Fax:601-200-0166
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS858460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS427945YKHVOtherMEDICARE ST DOM
MS09981721Medicaid