| Doctor Name: | JORIE J. MOBERLEY |
| NPI Number: | 1093717746 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, CPNP |
| License Number: | 28142503A |
| Business Practice Address: | 9470 Broadway Crown Point, IN - 463075722 |
| Business Phone Number: | 2196613260 |
| Business Fax Number: | 2196623765 |
| Mailing Address: | 1040 Sierra Dr, Suite 400 GREENWOOD |
| State: | IN |
| Postal Code: | 461437241 |
| Phone Number: | 3175284284 |
| Fax Number: | 3178658355 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 04/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 28142503A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |