Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jennings E. Mooneyhan, SA-C

Individual provider Surgical Assistant · NPI 1790107928

Mr. Jennings E. Mooneyhan, SA-C is a Surgical Assistant in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2014
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Practice location Address checks out

1310 1st St S
Jacksonville Beach, FL 32250-6404
Phone: (904) 222-5491
Fax: (904) 627-1609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 94-122 (TN)

Record details

NPI number1790107928
Entity typeIndividual (Type 1)
GenderMale
Credentials SA-C
Sole proprietorYes
NPI enumeratedJanuary 7, 2014
Last updated in NPPESJanuary 7, 2014

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