Individual
JENNIFER MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Mailing address
2958 NORTH RD, BLUE MOUNDS, WI 53517-9695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111559
WI
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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