JENNIFER WEDGEWORTH MOONEYHAM

BRANDON, MS
NPI1134349913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R845026)
Enumeration Date2007-04-26
Last Update Date2010-12-30
Business Address
-- JENNIFER WEDGEWORTH MOONEYHAM FNP-BC
1127 OLD FANNIN RD SUITE C
BRANDON, MS 39047-9265
Phone number: 601-214-4420
Mailing Address
-- JENNIFER WEDGEWORTH MOONEYHAM FNP-BC
1127 OLD FANNIN RD SUITE C
BRANDON, MS 39047-9265
Phone number: 601-214-4420
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