| Doctor Name: | MRS. SALLY JO MCMAHON |
| NPI Number: | 1073787255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A-065969 |
| Business Practice Address: | 5885 Sunnybrook Dr Sioux City, IA - 511064203 |
| Business Phone Number: | 7122662760 |
| Business Fax Number: | 7122662719 |
| Mailing Address: | 5885 Sunnybrook Dr, SIOUX CITY |
| State: | IA |
| Postal Code: | 511064203 |
| Phone Number: | 7122662760 |
| Fax Number: | 7122662719 |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-065969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |