Individual
JENNIFER MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2732 TROLLIE LN, JACKSONVILLE, FL 32211-3833
(904) 289-1254
(904) 212-0036
Mailing address
PO BOX 600365, JACKSONVILLE, FL 32260-0365
(904) 289-1254
(904) 212-0036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-84822-031
KS
163W00000X
Registered Nurse
2000146301
MO
363LC0200X
Critical Care Medicine Nurse Practitioner
2014007481
MO
363LF0000X
Family Nurse Practitioner
2014007481
MO
363LP2300X
Primary Care Nurse Practitioner
2014007481
MO
363LP2300X
Primary Care Nurse Practitioner
53-76854-031
KS
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11026287
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000146301
LICENSE
MO
01
—
2013025793
ANCC
—
01
—
53-76854-031
LICENSE
KS
01
—
APRN11026287
LICENSE
FL
Enumeration date
03/06/2014
Last updated
09/05/2025
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