Individual provider · Type 1 NPI

Jenny Lee Mahoney, IDC

Independent Duty Corpsman · Callahan, FL

NPI number 1043863079 Active

Practice location

55281 Yellow Jacket Dr
Callahan, FL 32011-8534

Other practice locations

  • 2480 Bon Hommes Richard St, Jacksonville, FL 32227 · (904) 542-2338

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

About NPI 1043863079

Jenny Lee Mahoney, IDC's National Provider Identifier is 1043863079, issued on Jul 18, 2019. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Callahan, FL. The record was last updated on Jan 7, 2020.