Individual
JEAN BARNETT MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PED NURSE PRACTITION
Contact information
Practice address
3889 NORTH ROAD, GENESEO, NY 14454
(585) 243-4000
(585) 243-4002
Mailing address
3889 NORTH ROAD, GENESEO, NY 14454
(585) 243-4000
(585) 243-4002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F3801651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000926885001
HNN
—
01
—
02258184
MED
—
01
—
109217DL
PFC
—
Enumeration date
06/22/2006
Last updated
07/08/2007
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