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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNY LEE MAHONEY, IDC

Active Sole Proprietor

JENNY LEE MAHONEY, IDC is a Independent Duty Corpsman healthcare provider located in CALLAHAN, Florida. NPI 1043863079 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · CALLAHAN, FL

Registration Details

NPI Number
1043863079
Provider Type
Individual
Gender
Female
NPI Issued
Jul 18, 2019 (7.0317910647087 yrs)
Last Updated
Jan 7, 2020
Sole Proprietor
Yes

Practice Information

Address
55281 YELLOW JACKET DR
CALLAHAN, FL, 320118534
Browse FL providers · Browse ZIP 32011
Phone
7576728533
Primary Specialty
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.