Individual provider · Type 1 NPI
Jamie Mooneyham, FNP-C
Family Nurse Practitioner · Springfield, MO
NPI number
1508750274
Active
Practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
10616 W Farm Road 132
Bois D Arc, MO 65612-7122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2025020703 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508750274
Jamie Mooneyham, FNP-C's National Provider Identifier is 1508750274, issued on Jun 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on Aug 18, 2025.