JACQUELINE MOYLAN
NPI 1265004063
Nurse Practitioner - Adult Health in Sacramento, CA

Active since July 13, 2021
3313 CHENU AVE, SACRAMENTO, CA 95821(916) 505-2303 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Moylan's NPI number?

The NPI number for Jacqueline Moylan is 1265004063. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Jacqueline Moylan located?

Jacqueline Moylan practices at 3313 Chenu Ave, Sacramento, CA 95821. The listed phone number is (916) 505-2303.

What is Jacqueline Moylan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jacqueline Moylan was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.