Individual
JERENE M MAUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024165964
VA
363LA2200X
Adult Health Nurse Practitioner
AC000557
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
RN53635
DC
Other
Enumeration date
11/09/2007
Last updated
07/14/2016
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