Individual provider · Type 1 NPI

Jennifer Lynn Mooneyham, PA-C

Physician Assistant · Greenville, SC

NPI number 1467164293 Active

Practice location

429 Roper Mountain Rd Ste B
Greenville, SC 29615-4254

Call (864) 331-2505 Map

Fax (864) 331-2510

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1467164293

Jennifer Lynn Mooneyham, PA-C's National Provider Identifier is 1467164293, issued on Dec 26, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greenville, SC. The record was last updated on Aug 10, 2026.