- Practice location
- 866 E Tremont Ave, Bronx, NY 10460-4201
- Phone
- 718-589-4755
- Fax
- —
- Last updated
- July 22, 2026
Jenna Mould is a Nurse Practitioner, Family based in Bronx, NY. Jenna Mould practices in Bronx, NY and has the professional credentials of FNP. The NPI Number for Jenna Mould is 1386481125 and holds a License No. 17871 (CT). The current practice location address for Jenna Mould is 866 E Tremont Ave, Bronx, NY 10460-4201 and can be reached out via phone at 718-589-4755.
Provider Profile Details
- NPI Number
- 1386481125
- Provider Name
- Jenna Mould
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 866 E Tremont Ave, Bronx, NY 10460-4201
- Phone Number
- 718-589-4755
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 10, 2024
- Last Update Date
- July 22, 2026
- Certification Date
- July 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 866 E Tremont Ave
Bronx, NY 10460-4201 - City
- Bronx
- State
- New York
- Zip
- 10460-4201
- Phone Number
- 718-589-4755
Provider Business Mailing Address Details
- Address
- 1065 Southern Blvd
Bronx, NY 10459-2417 - City
- Bronx
- State
- NY
- Zip
- 10459-2417
License Information
- License Number (1)
- 17871
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 354620
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Candice L Elam, DNP, FNP-CNurse Practitioner, Family · NPI 1689349318
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Frequently Asked Questions
What is the NPI number of Jenna Mould, FNP?
The NPI number of Jenna Mould, FNP is 1386481125. It was assigned on July 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Jenna Mould, FNP?
Jenna Mould, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 17871.
Where does Jenna Mould, FNP practice?
The practice location is 866 E Tremont Ave, Bronx, NY 10460-4201. The office can be reached at 718-589-4755 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386481125 directly on the NPPES registry website.