Individual provider · NPI-1

Tara Cheyenne Mcmahon, RN

Registered Nurse, Psych/Mental Health, Adult · Columbus, GA

NPI number1528829686
StatusActive
Last updated in NPPESJan 17, 2024

Details

NPI
1528829686
Entity type
Individual (NPI-1)
Name
Tara Cheyenne Mcmahon
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2024
Certification date
Jan 17, 2024
Last updated
Jan 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult1-186841ALYes

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Phone 706-596-5500

Mailing address

310 Lee Road 601
Phenix City, AL 36870-7932

Phone 334-540-6918

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