Individual provider · Type 1 NPI

Alexis Jacklyn Manzella

Psychiatric/Mental Health Registered Nurse · Brockton, MA

NPI number 1083461248 Active

Practice location

25 Libby St
Brockton, MA 02302-2949

Mailing address

28 Concord St Apt 3
Boston, MA 02129-2571

Other practice locations

  • 28 Concord St Apt 3, Boston, MA 02129-2571 · (914) 715-1672
  • 110 Liberty St, Brockton, MA 02301-5674 · (508) 894-0400

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN2377937 (MA)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XRN2377937 (MA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

4 other providers at this address

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About NPI 1083461248

Alexis Jacklyn Manzella's National Provider Identifier is 1083461248, issued on May 3, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Brockton, MA. The record was last updated on Oct 14, 2026.