Mooneyham, Jennifer Wedgeworth

Mooneyham, Jennifer Wedgeworth is an sole proprietor health care provider with primary practice located at 1127 Old Fannin Rd Suite C, Brandon MS 39047-9265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mooneyham, Jennifer Wedgeworth can be contacted via phone (601) 214-4420.

Contact Information

Primary practice address
1127 Old Fannin Rd Suite C Brandon MS 39047-9265
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R845026 Mississippi

Profile Details

NPI number 1134349913
LBN Legal business name Mooneyham, Jennifer Wedgeworth
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Dec 30th, 2010 - about 14 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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