Provider Demographics
NPI:1205149994
Name:MONAGHAN, JENNIFER RUTH (CD (CBI))
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RUTH
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:CD (CBI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42963 ASTELL STREET
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20152-2027
Mailing Address - Country:US
Mailing Address - Phone:703-957-0382
Mailing Address - Fax:
Practice Address - Street 1:42963 ASTELL STREET
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20152-2027
Practice Address - Country:US
Practice Address - Phone:703-957-0382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula