Colleen McMahon
Colleen McMahon is a Nurse Practitioner in Diamondhead, Mississippi. Qualified in 2016, 10 years ago. Practices with Primesource Nursing Services, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 10
- Licensed in
- MS
- In the registry since
- 2016
Practice location Address checks out
7826 Koko PlDiamondhead, MS 39525-3624
Phone: (228) 324-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 901814 (MS) |
|---|
Record details
| NPI number | 1922559012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2016 |
| Last updated in NPPES | October 24, 2016 |
| Mailing address | 7826 Koko Pl, Diamondhead, MS 39525-3624 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Primesource Nursing Services, Inc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |