NPI 1023127818

Jennifer Jill Momen

Practitioner Pediatrics Physician Bridgeport, WV

Practice location

Address: 11 Chenoweth Drive Suite a, Bridgeport, WV 26330
Phone: (303) 842-5777
Fax: (304) 842-3318
Mailing address: PO Box 390 11 Chenoweth Drive, Bridgeport, WV 26330

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence WV18808 (WV)

Other Pediatrics providers in West Virginia →

Registry record

NPI: 1023127818
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.