Individual
JEFFREY R. MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
(504) 842-6617
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
(504) 842-6617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07223
LA
363LA2100X
Acute Care Nurse Practitioner
AP07223
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00150854
—
MS
05
—
2324241
—
LA
Enumeration date
03/08/2013
Last updated
07/21/2022
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