Jennifer Hart, CRNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R143480 Issued in MD

Practice address

1101 Camden Ave # Dh240
Salisbury, MD 21801-6860

Phone

(443) 783-6662

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Moeller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salisbury University

  • Student Health Clinic/Center
  • Salisbury, MD
  • NPI 1881432144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1801375498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CAMDEN AVE # DH240",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016860",
            "telephone_number": "443-783-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAMDEN AVE # DH240",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016860",
            "telephone_number": "443-783-6662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Camden Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218016837",
            "country_code": "US",
            "telephone_number": "410-543-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "JENNIFER",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R143480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOELLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Curtis Harris Jr., M.D.
• Madalyne Suzanne Harris, LCPC
• Michelle Louise Harris
• Debra Harrison, C.P.N.P.
• Laura Fadely Harrison, MSW LCSWC
• Lyndsey Russell Hart, LPTA
• Usaid Hasan, M.D.
• Laura Nadia Hassan, PA-C
• Muntasir Yousif Hassan, RPH
• Katrina Hatcher

• Family Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.