JESSICA MOMOSE CRNP NPI 1164830154

NPI Information

NPI: 1164830154
Provider Name: JESSICA MOMOSE, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
805 N RICHMOND ST
FLEETWOOD, PA
ZIP 19522
Phone: (610) 944-0464
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Jessica Momose, CRNP is a family nurse practitioner in Fleetwood, PA. Jessica Momose, CRNP NPI is 1164830154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 N RICHMOND ST
FLEETWOOD, PA
ZIP 19522-058
Phone: (610) 944-0464

The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP013770	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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