Jennifer Elizabeth Moles, NP-C
Individual provider Active NPI Family Nurse Practitioner · Williston, FL
NPI 1669355384 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1669355384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11045956 (FL)
- Practice address
- 514 W Noble Ave
Williston, FL 32696-2036 - Phone
- (574) 596-8267
- Fax
- (574) 596-8267
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250916000456 | IN | Order and Referring Only - Nurse Practitioner | 2860996717 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11045956 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11045956 | FL | Yes |
Addresses
Primary practice location
514 W Noble Ave
Williston, FL 32696-2036
Mailing address
6551 NE 120TH Ter
Williston, FL 32696-4708
Phone (574) 596-8267
Other practice location 1
11371 N Williams St Ste 4
Dunnellon, FL 34432-8362
Phone (844) 797-8425
Other practice location 2
1907 Highway 44 W
Inverness, FL 34453-3801
Phone (844) 797-8425
Other practice location 3
2205 N Young Blvd
Chiefland, FL 32626-1957
Phone (844) 797-8425
Other practice location 4
8119 SW Highway 200
Ocala, FL 34481-7733
Phone (844) 797-8425
Other practice location 5
3925 N Lecanto Hwy
Beverly Hills, FL 34465-3507
Phone (844) 797-8425
Other practice location 6
659 NE US Highway 19
Crystal River, FL 34429-4240
Phone (844) 797-8425
Other practice location 7
3956 S Suncoast Blvd
Homosassa, FL 34448-2601
Phone (844) 797-8425
Other providers in Williston, FL
- John McAlexander
- Kathleen Elizabeth McCabe
- Donald L McCoy Jr.
- Cliff McCurdy III
- Darrell Shannon McGehee
- Motion Wellness LLC
- Danielle Munson
- Nature Coast Medical Group PA
- Nature Coast Rehabilitation Inc
- Nature Coast Rehabilitation Inc
All providers in Williston, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.