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General NPI Number Information
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NPI Number | 1972929545
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Entity Type | Individual
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Provider Name | JENNIFER MORAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2732 TROLLIE LN
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City | JACKSONVILLE
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State | FL
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Zip | 32211-3833
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Country | US
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Telephone | 904-289-1254
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Fax | 904-212-0036
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Provider Business Mailing Address
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Address Line | PO BOX 600365
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City | JACKSONVILLE
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State | FL
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Zip | 32260-0365
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Country | US
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Telephone | 904-289-1254
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Fax | 904-212-0036
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11026287
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 2014007481
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2014007481
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2014007481
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2000146301
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14-84822-031
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 53-76854-031
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License Number State | KS
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