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NPI Code Detail

MEDICARE: JENNIFER MONTJOY NURSE PRACTITIONER

MEDICARE:   JENNIFER  MONTJOY  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61596590WA

General Provider Information

NPI Number : 1225582521
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MONTJOY NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Provider Business Practice Location Address
First Line : 884 W PARK AVE
Second Line :
City : PORT TOWNSEND
State : WA
Zip : 98368-2273
Country : US
Telephone Number : 360-385-0321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2016
Last Update Date : 04/15/2026

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Directions to “ JENNIFER MONTJOY NURSE PRACTITIONER” Practice Location

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