Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Marie Moulton, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1831583012

Jenna Marie Moulton, CPNP is a Pediatric Nurse Practitioner in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

535 E 70th St
New York, NY 10021-4898
Phone: (212) 606-1253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 W 97th St, New York, NY 10025-6450 — (212) 749-1820

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 382529 (NY)

Record details

NPI number1831583012
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorYes
NPI enumeratedMarch 25, 2015
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

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