Individual
COURTENAY JAYNE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
50 PENNSYLVANIA BLVD, WILKES-BARRE, PA 18701
(570) 762-6778
Mailing address
PO BOX 1052, KINGSTON, PA 18704-0052
(570) 762-6778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013027
PA
Other
Enumeration date
08/13/2013
Last updated
12/12/2016
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