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Individual
JILLIAN ROSE MOFFETT
Active
Individual
JILLIAN ROSE MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153014
CT
163W00000X
Registered Nurse
95328625
CA
163WP0218X
Pediatric Oncology Registered Nurse
153014
CT
163WP0218X
Pediatric Oncology Registered Nurse
95328625
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95031258
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
95031258
CA
Other
Enumeration date
09/13/2023
Last updated
10/10/2025
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