Individual
MRS. JENNIFER ANN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7259
Mailing address
6755 CARDINAL WOODS CT, LORTON, VA 22079-1356
(607) 437-7889
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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