| Jeffery H Mooneyham, CRNP | |
|
4350 Cleveland Ave, Altoona, AL 35952 | |
| (205) 589-6361 | |
| Not Available |
| Full Name | Jeffery H Mooneyham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 4350 Cleveland Ave, Altoona, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134570500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-109518 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1109518 (Alabama) | Primary |
| Entity Name | Quality Of Life Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
| Entity Name | Medical Asset Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720595762 PECOS PAC ID: 6901151505 Enrollment ID: O20180622001849 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery H Mooneyham, CRNP 206 Ohara Dr, Albertville, AL 35950-2596 Ph: (256) 243-2430 | Jeffery H Mooneyham, CRNP 4350 Cleveland Ave, Altoona, AL 35952 Ph: (205) 589-6361 |
Mrs. Kayla Winfrey, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Medical St, Altoona, AL 35952 Phone: 205-386-4341 Fax: 205-623-1105 | |
Miss Heather Dawn Battles, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9785 Us Highway 278 W, Altoona, AL 35952 Phone: 256-393-9754 |