Individual
JILL MICHELLE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7795 117TH ST, SEMINOLE, FL 33772-5223
(727) 418-2120
(352) 820-4133
Mailing address
7795 117TH ST, SEMINOLE, FL 33772-5223
(727) 418-2120
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11020432
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/22/2021
Last updated
02/16/2026
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