JENNY LEE MAHONEY IDC
NPI 1043863079
Military Health Care Provider - Independent Duty Corpsman in Callahan, FL

Q: What is Jenny Mahoney's NPI number?

The NPI number for Jenny Mahoney is 1043863079. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Q: What is Jenny Mahoney's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Mahoney was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2019

55281 YELLOW JACKET DR, CALLAHAN, FL 32011(757) 672-8533 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2020, Jul 18, 2019 (2 updates tracked since 2019).

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About Jenny Lee Mahoney Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY LEE MAHONEY IDC (NPI 1043863079) is an individual independent duty corpsman provider in Callahan, Florida and active in the NPI registry since July 2019. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1043863079

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameJENNY LEE MAHONEYCredential: IDC

Location Address55281 YELLOW JACKET DRCallahan, FL 32011-8534

Mailing Address55281 Yellow Jacket DrCallahan, FL 32011-8534 · (757) 672-8533

Phone(757) 672-8533

Sole ProprietorYes

Enumeration DateJuly 18, 2019

Last NPPES UpdateJanuary 7, 20202 updates tracked since enumeration

✔ NPI 1043863079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

55281 YELLOW JACKET DR, Callahan, FL 32011

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Secondary Practice Location 1

Location 12480 Bon Hommes Richard StJacksonville, FL 32227 · Phone (904) 542-2338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Mahoney's NPI number?

The NPI number for Jenny Mahoney is 1043863079. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Jenny Mahoney located?

Jenny Mahoney practices at 55281 Yellow Jacket Dr, Callahan, FL 32011. The listed phone number is (757) 672-8533.

What is Jenny Mahoney's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jenny Mahoney was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.