JACQUELINE MOYLAN
NPI 1265004063
Nurse Practitioner - Adult Health in Sacramento, CA
Active since July 13, 2021
About Jacqueline Moylan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MOYLAN (NPI 1265004063) is an individual adult health provider in Sacramento, California, licensed in California (95017499) and active in the NPI registry since July 2021.
NPPES Registry Identity
NPI1265004063
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE MOYLAN
Location Address3313 CHENU AVESacramento, CA 95821-6205
Mailing Address3313 Chenu AveSacramento, CA 95821-6205 · (916) 505-2303
Phone(916) 505-2303
Sole ProprietorYes
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1265004063 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95017499
3313 CHENU AVE, Sacramento, CA 95821
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265004063, enumerated as an "individual" on July 13, 2021.
The provider is located at 3313 CHENU AVE SACRAMENTO, CA 95821 and the phone number is (916) 505-2303.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
