Individual
DR. JEANNE D MONTROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD ARNP
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
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP1157192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004928
CIGNA
—
01
—
593546315
UNITED BEHAVIORAL
—
01
—
593546815
TRICARE
—
01
—
P00233697
MEDICARE RR
—
01
—
Y6677
BCBS
—
Enumeration date
12/09/2005
Last updated
03/19/2009
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