Individual
JUSTIN SCOTT MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1581 DODD DR, COLUMBUS, OH 43210-1257
(614) 293-2101
(614) 293-9155
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2101
(614) 293-9155
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0031502
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000919
—
OH
Enumeration date
05/23/2022
Last updated
11/16/2022
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