Montross, Jeanne D

Montross, Jeanne D is an individual health care provider with primary practice located at 4240 Stacey Rd E , Jacksonville FL 32250-2100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Montross, Jeanne D can be contacted via phone (904) 223-1684.

Contact Information

Primary practice address
4240 Stacey Rd E Jacksonville FL 32250-2100
Phone: (904) 223-1684
Fax: (904) 223-9177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1157192 Florida

Profile Details

NPI number 1225013477
LBN Legal business name Montross, Jeanne D
Credentials PHD ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 19th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225013477 NPPES
Other 593546315 UNITED BEHAVIORAL
Other 593546815 UNITED BEHAVIORAL
Other 2004928 UNITED BEHAVIORAL
Other P00233697 UNITED BEHAVIORAL
Other Y6677 UNITED BEHAVIORAL

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