Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenny Lee Mahoney, IDC

Individual provider Independent Duty Corpsman · NPI 1043863079

Jenny Lee Mahoney, IDC is an Independent Duty Corpsman in Callahan, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

55281 Yellow Jacket Dr
Callahan, FL 32011-8534
Phone: (757) 672-8533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1043863079
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorYes
NPI enumeratedJuly 18, 2019
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020