Individual
JENNIFER L MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 774-0649
(315) 596-3017
Mailing address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 286-6829
(315) 596-3017
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
778068-01
NY
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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