Individual
JENNIFER SHAWN MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
745 MISTY LN, SPRING BRANCH, TX 78070-5714
(360) 485-6074
(000) 000-0000
Mailing address
745 MISTY LN, SPRING BRANCH, TX 78070-5714
(360) 485-6074
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317658
TX
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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