Individual
MRS. JENNIFER J MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 N 1ST ST, ANESTHESIA DEPARTMENT, SPRINGFIELD, IL 62781-0001
(217) 788-3754
(217) 788-7071
Mailing address
PO BOX 4488, SPRINGFIELD, IL 62708-4488
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081072
ANCC CERTIFICATION NUMBER
IL
Enumeration date
03/13/2009
Last updated
07/23/2012
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