# JENNIFER CATHERINE AMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679557987
- **Gender:** F
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 300264 | NC | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 300264 | NC | — |
| 363LP0200X | Pediatric Nurse Practitioner | 300264 | NC | — |
| 363LP0200X | Pediatric Nurse Practitioner | AP60023099 | WA | — |
| 363LP0200X | Pediatric Nurse Practitioner | RN1008418 | DC | — |
| 363LP0200X | Pediatric Nurse Practitioner | RN2299302 | MA | Yes |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 10/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04-2297845 | MULTI-PLAN | — |
| 05 | — | 110102976A | — | MA |
| 01 | — | 1679557987 | NEIGHBORHOOD HEALTH PLAN | MA |
| 01 | — | 1679557987 | FALLON | — |
| 01 | — | NP8062 | BCBSMA | MA |