Individual provider · Type 1 NPI
Jenna Marie Moulton, CPNP
Pediatric Nurse Practitioner · New York, NY
NPI number
1831583012
Active
Practice location
535 E 70th St
New York, NY 10021-4898
Mailing address
241 N Terry Hill Rd
Carmel, NY 10512-5229
Other practice locations
- 110 W 97th St, New York, NY 10025-6450 · (212) 749-1820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382529 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1831583012
Jenna Marie Moulton, CPNP's National Provider Identifier is 1831583012, issued on Mar 25, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Apr 26, 2021.