Individual
SJOUKJE ODETTE MOONEYHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M./A.R.N.P.
Contact information
Practice address
4425 MERRIMAC AVE, JACKSONVILLE, FL 32210-1850
(904) 346-0050
(904) 346-0080
Mailing address
4425 MERRIMAC AVE, JACKSONVILLE, FL 32210-1850
(904) 346-0050
(904) 346-0080
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP3408202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110725A
—
GA
05
—
3078418
—
FL
Enumeration date
06/10/2006
Last updated
12/09/2020
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