Provider Demographics
NPI:1609077247
Name:MAUNEY, JEANNINE V (MD)
Entity type:Individual
Prefix:DR
First Name:JEANNINE
Middle Name:V
Last Name:MAUNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6600 CHARING ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6110
Mailing Address - Country:US
Mailing Address - Phone:904-674-0022
Mailing Address - Fax:844-656-2483
Practice Address - Street 1:6600 CHARING ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6110
Practice Address - Country:US
Practice Address - Phone:904-674-0022
Practice Address - Fax:844-656-2483
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN11242207V00000X
FLME110012207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology