Mooney, Jonathan William

Mooney, Jonathan William is an individual health care provider with primary practice located at 228 Ne Jefferson Ave , Peoria IL 61603-3802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Mooney, Jonathan William can be contacted via phone (309) 671-8000.

Contact Information

Primary practice address
228 Ne Jefferson Ave Peoria IL 61603-3802
Phone: (309) 671-8000
Fax: (309) 671-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209 Illinois

Profile Details

NPI number 1427603935
LBN Legal business name Mooney, Jonathan William
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Aug 21st, 2019 - about 6 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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