Individual
JENNIFER JEAN MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
158 JOSEPH LANE, POCONO SUMMIT, PA 18346
(570) 801-1480
Mailing address
PO BOX 428, 158 JOSEPH LANE, POCONO SUMMIT, PA 18346
(570) 801-1480
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401515
NY
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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