Individual
STACIE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 MADISON AVE., MORRISTOWN, NJ 07960
(973) 971-5488
(973) 290-7175
Mailing address
140 EAST HANOVER AVE., CEDAR KNOLLS, NJ 07927
(973) 605-8056
(973) 605-8045
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
26NJ00117000
NJ
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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