Jean Mary Mahn, PA-C
Physician Assistant in Plantation, FL. Individual provider (NPI-1).
NPI number1689213944
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1689213944
- Entity type
- Individual (NPI-1)
- Name
- Jean Mary Mahn
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2020
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9114928 | FL | Yes |
Practice location
7700 W Sunrise BlvdPlantation, FL 33322-4113
Phone 866-267-9111
Mailing address
3200 S University DrDavie, FL 33328-2018
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