Jacqueline Rose Mcmahon, CNM
Advanced Practice Midwife in Missoula, MT. Individual provider (NPI-1).
NPI number1255187720
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1255187720
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Rose Mcmahon
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2024
- Certification date
- Nov 25, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN-246385 | MT | Yes |
Practice location
2831 Fort Missoula Rd Ste 232Missoula, MT 59804-7479
Phone 406-523-5650
Mailing address
2230 South Ave WMissoula, MT 59801-6502
Phone 301-288-1031
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