Moss, Jennifer

Moss, Jennifer is an individual health care provider with primary practice located at 636 Del Prado Blvd S , Cape Coral FL 33990-2668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moss, Jennifer can be contacted via phone (239) 424-3513.

Contact Information

Primary practice address
636 Del Prado Blvd S Cape Coral FL 33990-2668
Phone: (239) 424-3513
Fax: (239) 424-4039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9336803 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9336803 Florida

Profile Details

NPI number 1740662071
LBN Legal business name Moss, Jennifer
Credentials ARNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Apr 5th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740662071 NPPES
Florida MEDICAID 015357300

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