Individual
JANE M MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4919
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4919
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
817-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760535140
—
WI
01
—
60934
DEAN HEALTH PLAN
WI
Enumeration date
01/19/2007
Last updated
03/19/2015
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