Organization
JEANNE D MONTROSS ARNP PA
Active
Parent organization
JEANNE D MONTROSS ARNP PA
Other names
Dr. Jeanne D Montross PHD ARNP
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEANNE D MONTROSS ARNP PA
Authorized official
CATHERINE RYBICKI (VICE PRESIDENT)
(904) 223-1684
Entity
Organization
Contact information
Practice address
4240 STACEY RD E, JACKSONVILLE, FL 32250-2100
(904) 223-1684
(904) 223-9177
Mailing address
14286 BEACH BLVD STE 19, #348, JACKSONVILLE, FL 32250-1568
(904) 223-1684
(904) 223-9177
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1157192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004928
CIGNA
FL
01
—
PO0233697
MEDICARE RR
FL
01
—
Y6677
BC/BS
FL
Enumeration date
07/23/2008
Last updated
03/19/2009
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