Individual
JENNIFER LYNN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4607
(414) 805-4606
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4607
(414) 805-4606
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6173-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073901690
—
WI
Enumeration date
01/05/2015
Last updated
12/22/2020
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