Individual
MRS. CLERISSA C MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1301 PALM AVE STE 700, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11031981
FL
363LF0000X
Family Nurse Practitioner
26NJ00591000
NJ
363LF0000X
Family Nurse Practitioner
APRN11031981
FL
363LF0000X
Family Nurse Practitioner
F339432-1
NY
Other
Enumeration date
07/07/2015
Last updated
04/30/2025
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