Provider Demographics
NPI:1851688782
Name:MCMAHON, JEANNE (DOULA)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 JORALEMON ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1853
Mailing Address - Country:US
Mailing Address - Phone:201-424-7668
Mailing Address - Fax:
Practice Address - Street 1:610 JORALEMON ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1853
Practice Address - Country:US
Practice Address - Phone:201-424-7668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula