Individual provider · Type 1 NPI
Jacqueline Moylan
Adult Health Nurse Practitioner · Sacramento, CA
NPI number
1265004063
Active
Practice location
3313 Chenu Ave
Sacramento, CA 95821-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95017499 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1265004063
Jacqueline Moylan's National Provider Identifier is 1265004063, issued on Jul 13, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Sacramento, CA. The record was last updated on Jul 13, 2021.