Individual
JAMIE MOONEYHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4450
Mailing address
10616 W FARM ROAD 132, BOIS D ARC, MO 65612-7122
(417) 988-8502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025020703
MO
Other
Enumeration date
06/05/2025
Last updated
08/18/2025
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