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

Jennifer Nicole Moultrie

Individual provider Acute Care Nurse Practitioner · NPI 1346978608

Jennifer Nicole Moultrie is a Nurse Practitioner in Pensacola, Florida. Graduated from Georgetown University School of Medicine in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Georgetown University School of Medicine
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4929 Mobile Hwy
Pensacola, FL 32506-3229
Phone: (850) 960-7971
Fax: (850) 961-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11019436 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN11019436 (FL)

Record details

NPI number1346978608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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