Individual
JACQUELINE ROSE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804-7479
(406) 523-5650
Mailing address
2230 SOUTH AVE W, MISSOULA, MT 59801-6502
(301) 288-1031
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN-246385
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN-246385
CNM
MT
Enumeration date
04/25/2024
Last updated
12/10/2024
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