JESSICA MOMOSE CRNP
NPI 1164830154
Nurse Practitioner - Family in Fleetwood, PA
About Jessica Momose Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MOMOSE CRNP (NPI 1164830154) is an individual family provider in Fleetwood, Pennsylvania, licensed in Pennsylvania (SP013770) and active in the NPI registry since July 2014.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLEETWOOD, PA 19522
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Momose's NPI number?
The NPI number for Jessica Momose is 1164830154. It was assigned to this individual provider in the NPPES registry on July 23, 2014.
Where is Jessica Momose located?
Jessica Momose practices at 805 N Richmond St, Fleetwood, PA 19522. The listed phone number is (610) 944-0464.
What is Jessica Momose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Jessica Momose was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Momose, CRNP · NPI 1164830154
Family physician in Fleetwood, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 23, 2014.
## Identity
- **NPI:** 1164830154 (Entity type: Individual)
- **Enumerated:** July 23, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP013770 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 805 N RICHMOND ST, Fleetwood, PA 19522-1058
- **Phone:** (610) 944-0464
## Record status
- **NPPES last updated:** July 23, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1164830154) · Data from the CMS NPPES public registry.