| Doctor Name: | JENNIFER JEAN MCGOVERN |
| NPI Number: | 1588915813 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 401515 |
| Business Practice Address: | 158 Joseph Lane Pocono Summit, PA - 18346 |
| Business Phone Number: | 5708011480 |
| Business Fax Number: | |
| Mailing Address: | Po Box 428, 158 Joseph Lane POCONO SUMMIT |
| State: | PA |
| Postal Code: | 18346 |
| Phone Number: | 5708011480 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2012 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 401515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |