Provider Demographics
NPI:1346738523
Name:MCLAUGHLIN, JOMAKA E
Entity Type:Individual
Prefix:
First Name:JOMAKA
Middle Name:E
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 N MIDLAND DR APT Q4
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-5587
Mailing Address - Country:US
Mailing Address - Phone:940-761-9986
Mailing Address - Fax:940-761-9823
Practice Address - Street 1:3001 N MIDLAND DR APT Q4
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-5587
Practice Address - Country:US
Practice Address - Phone:940-761-9986
Practice Address - Fax:940-761-9823
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328083164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse