Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerry Mosley Jr.

Individual provider Certified Registered Nurse Anesthetist · NPI 1306204094

Jerry Mosley Jr. is a Certified Registered Nurse Anesthetist (CRNA) in Tupelo, Mississippi. Qualified in 2015, 11 years ago. Practices with Ams Baptist LLC, a 83-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Licensed in
MS
In the registry since
2016
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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901365 (MS)

Record details

NPI number1306204094
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2016
Last updated in NPPESFebruary 9, 2016
Mailing addressPo Box 3294, Tupelo, MS 38803-3294

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ams Baptist Llc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo