Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Wedgeworth Mooneyham, FNP-BC

Individual provider Nurse Practitioner · NPI 1134349913

Jennifer Wedgeworth Mooneyham, FNP-BC is a Nurse Practitioner in Brandon, Mississippi. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
28
Licensed in
MS
In the registry since
2007
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1127 Old Fannin Rd Ste C
Brandon, MS 39047-9265
Phone: (601) 214-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R845026 (MS)

Record details

NPI number1134349913
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESDecember 30, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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