Mooneyham, Sjoukje Odette

Mooneyham, Sjoukje Odette is an individual health care provider with primary practice located at 4425 Merrimac Ave , Jacksonville FL 32210-1850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mooneyham, Sjoukje Odette can be contacted via phone (904) 346-0050.

Contact Information

Primary practice address
4425 Merrimac Ave Jacksonville FL 32210-1850
Phone: (904) 346-0050
Fax: (904) 346-0080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP3408202 Florida

Profile Details

NPI number 1881636553
LBN Legal business name Mooneyham, Sjoukje Odette
Credentials C.N.M./A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 9th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881636553 NPPES
Georgia MEDICAID 003110725A
Georgia MEDICAID 3078418

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