Individual provider · Type 1 NPI
Jessica Lynn Mandrell
Psychiatric/Mental Health Nurse Practitioner · Champaign, IL
NPI number
1043084528
Active
Practice location
819 Bloomington Rd
Champaign, IL 61820-2101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.028468 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1043084528
Jessica Lynn Mandrell's National Provider Identifier is 1043084528, issued on Nov 14, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Champaign, IL. The record was last updated on Nov 14, 2023.