Individual provider Active NPI

Jessica Leigh McMahan

  • Family Nurse Practitioner
  • Woodburn, OR
National Provider Identifier
1699628172
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10062617 Issued in OR
Practice address
2902 Tom Tennant Dr
Woodburn, OR 97071-2828
Phone
(971) 345-4767
Fax
(971) 345-4769
NPI assigned
Feb 16, 2026
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10062617 OR Primary
Registered Nurse 163W00000X 201703524RN OR

Addresses

Primary practice location

2902 Tom Tennant Dr
Woodburn, OR 97071-2828

Mailing address

PO Box 503
Aumsville, OR 97325-0503

Other practice location 1

PO Box 503
Aumsville, OR 97325-0503
Phone (541) 231-5731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201703524RNORMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1699628172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "AUMSVILLE",
            "state": "OR",
            "postal_code": "973250503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 TOM TENNANT DR",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712828",
            "telephone_number": "971-345-4767",
            "fax_number": "971-345-4769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 503",
            "address_purpose": "LOCATION",
            "city": "Aumsville",
            "state": "OR",
            "postal_code": "973250503",
            "country_code": "US",
            "telephone_number": "541-231-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10062617",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201703524RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.