Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY H MOONEYHAM, CRNP
Active Sole ProprietorJEFFERY H MOONEYHAM, CRNP is a Family Nurse Practitioner healthcare provider located in ALTOONA, Alabama. NPI 1134570500 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ALTOONA, AL
Registration Details
- NPI Number
- 1134570500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2016 (9.9844729772408 yrs)
- Last Updated
- Sep 15, 2023
- Licenses
-
1-109518 (AL)1109518 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4350 CLEVELAND AVEALTOONA, AL, 35952Browse AL providers · Browse ZIP 35952
- Phone
- 2055896361
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.