Individual
JAMIE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207-0903
(210) 358-5909
(210) 358-5940
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP142655
TX
363LA2100X
Acute Care Nurse Practitioner
APRN11004026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108156800
—
FL
01
—
XAAJU
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/12/2019
Last updated
11/22/2024
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