Individual
JANE LOIS DONMOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
601 GAY ST, PHOENIXVILLE, PA 19460-3852
(610) 917-2200
Mailing address
168 PINEHURST WAY, GILBERTSVILLE, PA 19525-8643
(610) 473-8484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP007417
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP011509
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021978750001
—
PA
Enumeration date
09/19/2005
Last updated
09/25/2011
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