Individual
MRS. JENNIFER ANN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001205566
VA
163W00000X
Registered Nurse
RN1007537
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1007537
DC
Other
Enumeration date
07/12/2011
Last updated
01/27/2014
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