Individual
JAY MASON MOUNTEER
Active
Individual
JAY MASON MOUNTEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
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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