MRS. JENNIFER LYNN MOFFITT CNNP
NPI 1033154547
Nurse Practitioner - Neonatal in Jackson, MS

Active since June 18, 2006
2500 N STATE ST, JACKSON, MS 39216(601) 815-7100(601) 815-6987 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Lynn Moffitt Cnnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER LYNN MOFFITT CNNP (NPI 1033154547) is an individual neonatal provider in Jackson, Mississippi, licensed in Mississippi (R570346) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1033154547
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. JENNIFER LYNN MOFFITTCredential: CNNP
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-7100
Fax(601) 815-6987
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateDecember 17, 2013
NPI 1033154547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License Licensed in MS · R570346
2500 N STATE ST, Jackson, MS 39216

Other Identifiers 5

Medicare PIN302I509124MS
Medicaid1433161LA
Medicare PIN319196YJ5DMS
Medicaid00122704MS
Medicare PIN512I500386MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Moffitt's NPI number?

The NPI number for Jennifer Moffitt is 1033154547. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Jennifer Moffitt located?

Jennifer Moffitt practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-7100.

What is Jennifer Moffitt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Moffitt was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.