JENNIFER MOODY ARNP
NPI 1356777650
Nurse Practitioner in Port St Lucie, FL

Q: What is Jennifer Moody's NPI number?

The NPI number for Jennifer Moody is 1356777650. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Q: What is Jennifer Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Moody was last updated on October 9, 2020. 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.

Active since September 18, 2013

10080 SW INNOVATION WAY STE 201, PORT ST LUCIE, FL 34987(772) 344-3811(772) 344-3890 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Moody Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MOODY ARNP (NPI 1356777650) is an individual nurse practitioner in Port St Lucie, Florida, licensed in Florida (ARNP9241652) and active in the NPI registry since September 2013. She maintains a secondary practice location in Port St Lucie.

NPPES Registry Identity

NPI1356777650

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER MOODYCredential: ARNP

Location Address10080 SW INNOVATION WAY STE 201Port St Lucie, FL 34987-2129

Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646

Phone(772) 344-3811

Fax(772) 344-3890

Sole ProprietorNo

Enumeration DateSeptember 18, 2013

Last NPPES UpdateOctober 9, 2020

NPPES CertifiedOctober 9, 2020

✔ NPI 1356777650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP9241652

Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10080 SW INNOVATION WAY STE 201, Port St Lucie, FL 34987

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Secondary Practice Location 1

Location 11651 SE Tiffany Ave, STE 102Port St Lucie, FL 34952-7564 · Phone (772) 398-1824 · Fax (772) 335-2422

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MORALES ROYALL PA

Physician Assistant

10080 SW INNOVATION WAY STE 201
PORT SAINT LUCIE, FL 34987

St. Lucie County (772) 288-5862

DR. KONSTANTIN ALEKSEYENKO DO

Family Medicine (Adult Medicine)

10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

St. Lucie County (772) 344-3811

DR. KATHLEEN MARIE BERKOWITZ MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

St. Lucie County (772) 345-5280

DR. MONA F FAKHRY MD

Internal Medicine

10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

St. Lucie County (772) 344-3811

SOPHIE TRUJILLO

Internal Medicine (Gastroenterology)

10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

St. Lucie County (772) 398-1800

HASSAN AMER M.D.

Internal Medicine (Rheumatology)

10080 SW INNOVATION WAY STE 201
PORT SAINT LUCIE, FL 34987

St. Lucie County (772) 345-8100

KEITH E SWANSON MD

Internal Medicine

10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

St. Lucie County (772) 287-5200

DR. ROGER N CORON MD

Internal Medicine (Gastroenterology)

10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987

St. Lucie County (772) 398-1800

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 Jennifer Moody's NPI number?

The NPI number for Jennifer Moody is 1356777650. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Where is Jennifer Moody located?

Jennifer Moody practices at 10080 SW Innovation Way Ste 201, Port St Lucie, FL 34987. The listed phone number is (772) 344-3811.

What is Jennifer Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Moody was last updated on October 9, 2020. 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.