Jessica Momose, CRNP
NPI #1164830154 in Fleetwood, Pennsylvania
Provider Information
- NPI Number
- 1164830154
- Entity Type
- Individual
- Name
- Jessica Momose, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Jul 23, 2014
- Last Updated
- Jul 23, 2014
Practice Location
- Address
- 805 N RICHMOND ST
- City
- Fleetwood
- State
- Pennsylvania
- ZIP Code
- 19522-1058
- Phone
- (610) 944-0464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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