Individual provider · Type 1 NPI

Jody Lee Moreno

Nurse Practitioner · Lakeland, FL

NPI number 1508212796 Active

Practice location

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965

Mailing address

3991 Bruton Rd
Plant City, FL 33565-7023

Other practice locations

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (863) 687-1100
  • 455 Emerald Ave, Lake Wales, FL 33853-4716 · (863) 697-1472
  • 3440 Hollywood Blvd Ste 460, Hollywood, FL 33021-6933 · (954) 923-7440

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XARNP9329228 (FL)
Nurse Practitioner Primary 363L00000XAPRN9329228 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508212796

Jody Lee Moreno's National Provider Identifier is 1508212796, issued on May 6, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeland, FL. The record was last updated on Feb 18, 2025.