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1356777650
JENNIFER MOODY
PORT ST LUCIE, FL
NPI
1356777650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9241652)
Enumeration Date
2013-09-18
Last Update Date
2020-10-09
Business Address
JENNIFER MOODY ARNP
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987-2129
Phone number: 772-344-3811
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Mailing Address
JENNIFER MOODY ARNP
PO BOX 417
STUART, FL 34995-0417
Phone number: 772-223-5665
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