Individual
JORDAN NICOLE MAHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14101 N EASTERN AVE STE F, EDMOND, OK 73013-5860
(405) 271-5541
Mailing address
14101 N EASTERN AVE STE F, EDMOND, OK 73013-5860
(405) 271-5541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5714
OK
Other
Enumeration date
09/26/2024
Last updated
01/06/2026
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