Individual
JAY MASON MOUNTEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
(202) 715-4015
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
(202) 715-4327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1042186
DC
207QA0505X
Adult Medicine Physician
RN1042186
DC
363LF0000X
Family Nurse Practitioner
Primary
RN1042186
DC
Other
Enumeration date
09/07/2021
Last updated
11/17/2023
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