OrganizationActive
United States Airforce
NPI 1942549092 · Emergency Registered Nurse · Monroe, LA
Provider details
- NPI number
- 1942549092
- Entity type
- Organization
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Authorized official
- Jessica Mahan, Nurse Practitioner
- License
- 119937 (LA)
Mailing address
1801 N 5th St
Monroe, LA 71201-4245
Registry dates
- Enumerated
- 2013-02-10
- Last updated
- 2013-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.