Provider Demographics
NPI:1164653960
Name:MCMAHON, JANET PATRICIA (ACNP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:PATRICIA
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 BRITTON RD
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08559-1007
Mailing Address - Country:US
Mailing Address - Phone:908-788-1069
Mailing Address - Fax:
Practice Address - Street 1:63 BRITTON RD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:NJ
Practice Address - Zip Code:08559-1007
Practice Address - Country:US
Practice Address - Phone:908-788-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00078200363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care