Individual provider · Type 1 NPI

Jennifer Catherine Moran, NP

Nurse Practitioner · Boston, MA

NPI number 1801403290 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5450

Mailing address

24 Allen Park Dr
Wilmington, MA 01887-2939

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2308642 (MA)

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 1801403290

Jennifer Catherine Moran, NP's National Provider Identifier is 1801403290, issued on Sep 29, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jan 5, 2026.