IndividualActive
Jennifer Moles, NP-C
NPI 1669355384 · Family Nurse Practitioner · Williston, FL
Provider details
- NPI number
- 1669355384
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 11045956 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
514 W Noble Ave
Williston, FL 32696-2036
Phone: (574) 596-8267
Fax: (574) 596-8267
Approximate (ZIP-level) locationGet directions
Mailing address
6551 Ne 120th Ter
Williston, FL 32696-4708
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.