MEDICARE: MEGAN MCMAHON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024194849	VA

General Provider Information

NPI Number	:	1902775240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MCMAHON

Provider Business Mailing Address
First Line	:	231 MILL POINT DR
Second Line	:
City	:	HEATHSVILLE
State	:	VA
Zip	:	22473-4584
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	113 DMV DR
Second Line	:
City	:	KILMARNOCK
State	:	VA
Zip	:	22482-3843
Country	:	US
Telephone Number	:	804-435-9237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	02/06/2026

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