Individual
JENNIFER CATHERINE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3000
Mailing address
24 ALLEN PARK DR, WILMINGTON, MA 01887-2939
(508) 843-7303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2308642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2308642
MASSACHUSETTS LICENSURE NUMBER
MA
Enumeration date
09/29/2020
Last updated
01/05/2026
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