P Praxis·MD
● Active Type 1 · Individual

Jessica Lynn Otto, ARNP

Nurse Practitioner·Moody Afb, GA· NPI 1497196158 · Enumerated 2013 · 12 years on NPI
Otto is 1 of 2 nurse practitioner providers in Moody Afb and 1 of 8826 in Georgia.
NPI age
12 years
Enumerated 2013-07-10
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
3280 Mitchell Blvd
Moody Afb, GA 316995638
📞 2292572778
Mailing address
3280 Mitchell Blvd
Moody Afb, GA 316991500
📞 2292572778

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    FL license #ARNP9247352FL license #9247352 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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