Provider Demographics
NPI:1689208498
Name:MOSLEY, KATHERINE LEIGH (FNP-C)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LEIGH
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 FOX PL
Mailing Address - Street 2:
Mailing Address - City:TUCKASEGEE
Mailing Address - State:NC
Mailing Address - Zip Code:28783-8500
Mailing Address - Country:US
Mailing Address - Phone:704-226-7259
Mailing Address - Fax:
Practice Address - Street 1:37 MEDICAL PARK LOOP STE 101
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5277
Practice Address - Country:US
Practice Address - Phone:828-586-7623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5012935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily