Provider Demographics
NPI:1184050577
Name:MOSHER, MARGARET (APRN)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:
Last Name:MOSHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11681 LOIS JERRY RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-2503
Mailing Address - Country:US
Mailing Address - Phone:904-254-5603
Mailing Address - Fax:904-643-4724
Practice Address - Street 1:12276 SAN JOSE BLVD
Practice Address - Street 2:SUITE 707; OFFICE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-8674
Practice Address - Country:US
Practice Address - Phone:904-393-1645
Practice Address - Fax:904-643-4724
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9204947363LF0000X
FLAPRN9204947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily