Individual
JENNIFER SHAWN MAHANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-6241
(217) 762-1702
Mailing address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-6241
(217) 762-1702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016787
IL
Other
Enumeration date
11/28/2017
Last updated
06/09/2023
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