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Individual
JACKLINE MONYANGI MORIASI
Active
Individual
JACKLINE MONYANGI MORIASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1699478
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10108
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN312890
GA
Other
Enumeration date
09/20/2022
Last updated
06/22/2023
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