Jennifer Wedgeworth Mooneyham in Brandon - Nurse Practitioner
Jennifer Wedgeworth Mooneyham - NPI 1134349913
Jennifer Wedgeworth Mooneyham is a Nurse Practitioner in Brandon, Mississippi. Jennifer Wedgeworth Mooneyham practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer Wedgeworth Mooneyham is 1134349913. The last update date is 2010-12-30.
Jennifer Wedgeworth Mooneyham's current location address is 1127 Old Fannin Rd, Brandon, Mississippi. You can contact this provider via phone number 6012144420. The mailing address for Jennifer Wedgeworth Mooneyham is 1127 Old Fannin Rd, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Wedgeworth Mooneyham |
|---|---|
| Address | 1127 Old Fannin Rd, Brandon, Mississippi |
| Phone Number | 6012144420 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1134349913 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | 1127 Old Fannin Rd |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390479265 |
| Phone Number | 6012144420 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R845026 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Jennifer Wedgeworth Mooneyham's 1134349913?
The Jennifer Wedgeworth Mooneyham's NPI (National Provider Identifier) Number is 1134349913. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jennifer Wedgeworth Mooneyham's facilities are geographically located?
The facilities of Jennifer Wedgeworth Mooneyham are physically situated at the following location: 1127 Old Fannin Rd, Brandon, MS, 390479265.
What is the Jennifer Wedgeworth Mooneyham's area of specialization and corresponding taxonomy classification?
The Jennifer Wedgeworth Mooneyham's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When did the Jennifer Wedgeworth Mooneyham receive its 1134349913?
The Jennifer Wedgeworth Mooneyham was issued its 1134349913 on 2007-04-26, which is the date when the organization was assigned this unique identifier.
As of what date were the Jennifer Wedgeworth Mooneyham's details last updated?
The information pertaining to the Jennifer Wedgeworth Mooneyham, including its address, specialty, and other details, was most recently updated on 2010-12-30.
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