Individual ProviderJenna M MoranNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11 Bishop Pl, New Brunswick, NJ 08901-1178(848) 932-7402PECOS EnrollmentBased on the most recent information from CMS, provider Jenna M Moran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1558738757Provider TypeIndividualFull NameMoran, Jenna MTitleMrs.CredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date8/24/2015Last Updated11/3/2016Contact InformationPractice LocationPractice Address11 Bishop Pl, New Brunswick, NJ 08901-1178Phone(848) 932-7402FaxUnlisted FaxMailing LocationMailing Address11 Bishop Pl, New Brunswick, NJ 08901-1178Phone(848) 932-7402FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF339415New YorkCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00588000New Jersey