Jennifer Jill Momen
Pediatrics | Female
Jennifer Jill Momen is a Bridgeport, West Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennifer Jill Momen is
11 Chenoweth Drive, Suite A, Bridgeport, West Virginia - 26330. She can be contacted on phone at
303-842-5777 and fax number 304-842-3318.
Jennifer Jill Momen is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Jill Momen is
1023127818 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 08 Jul, 2007.
Jennifer Jill Momen license number is
WV18808 for Pediatrics (208000000X) in West Virginia.
Jennifer Jill Momen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Jill Momen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Jill Momen |
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| Gender : | Female |
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Business Address:
Jennifer Jill Momen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11 Chenoweth Drive, Suite A
Bridgeport, WV, 26330
United States |
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| Phone Number : | 303-842-5777 |
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| Fax Number : | 304-842-3318 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023127818 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Jill Momen are as mentioned. Primary taxonomy code for Jennifer Jill Momen is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | WV18808 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Jill Momen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0110704000 | MEDICAID | WV | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 390, 11 Chenoweth Drive
Bridgeport, WV, 26330
United States |
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| Phone Number : | 304-842-5777 |
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| Fax Number : | 304-842-3318 |
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Business Location:
Patients can refer following map for directions to
Jennifer Jill Momen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.