Jennifer Wedgeworth Mooneyham, FNP-BC
NPI #1134349913 in Brandon, Mississippi
Provider Information
- NPI Number
- 1134349913
- Entity Type
- Individual
- Name
- Jennifer Wedgeworth Mooneyham, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-BC
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Dec 30, 2010
Practice Location
- Address
- 1127 OLD FANNIN RD
- Address 2
- SUITE C
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-9265
- Phone
- (601) 214-4420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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