Moody, Jennifer

Moody, Jennifer is an individual health care provider with primary practice located at 10080 Sw Innovation Way Ste 201 , Port St Lucie FL 34987-2129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moody, Jennifer can be contacted via phone (772) 344-3811.

Contact Information

Primary practice address
10080 Sw Innovation Way Ste 201 Port St Lucie FL 34987-2129
Phone: (772) 344-3811
Fax: (772) 344-3890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9241652 Florida

Profile Details

NPI number 1356777650
LBN Legal business name Moody, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Oct 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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