Mona, Magan

Mona, Magan is an sole proprietor health care provider with primary practice located at 710 Lomax St , Jacksonville FL 32204-4015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Urology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mona, Magan can be contacted via phone (904) 355-6583.

Contact Information

Primary practice address
710 Lomax St Jacksonville FL 32204-4015
Phone: (904) 355-6583
Fax: (904) 683-4064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11016629 Florida
Nursing Service Providers / Urology 163WU0100X RN9423072 Florida

Profile Details

NPI number 1295499937
LBN Legal business name Mona, Magan
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2021
Last updated Nov 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295499937 NPPES
Florida MEDICAID 460772206
Florida Other 460772206

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