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Individual
MRS. JEANETTE MORTARA
Active
Individual
MRS. JEANETTE MORTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3-002281
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
906790
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN 1952492
FL
Other
Enumeration date
03/07/2012
Last updated
01/14/2026
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