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

Mr. Jeffrey R. Moffett, FNP

Individual provider Nurse Practitioner · NPI 1710135629

Mr. Jeffrey R. Moffett, FNP is a Nurse Practitioner in Laurel, Mississippi. Qualified in 2008, 18 years ago. Practices with North Laurel Family Medicine LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2008
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3115 Audubon Dr
Laurel, MS 39440
Phone: (601) 531-2200
Fax: (601) 531-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R872112 (MS)

Record details

NPI number1710135629
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 4, 2008
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice North Laurel Family Medicine Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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