Individual
JACEY L MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
615 E PRINCETON ST STE 416, ORLANDO, FL 32803-1469
(407) 303-1687
(407) 303-1729
Mailing address
615 E PRINCETON ST STE 416, ORLANDO, FL 32803-1469
(407) 303-1687
(407) 303-1729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9308605
FL
Other
Enumeration date
04/01/2014
Last updated
08/03/2021
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