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Individual

JULIE MONGERI-MCPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0359
Mailing address
2401 W UNIVERSITY AVE FL 3, MUNCIE, IN 47303-3428
(765) 747-4409
(765) 751-1701

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005907A
IN
390200000X
Student in an Organized Health Care Education/Training Program
28174599A
IN

Other

Enumeration date
07/22/2015
Last updated
02/12/2016
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