Individual provider · Type 1 NPI
Jean Harris Mangold, PNP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1275685216
Active
Practice location
2225 Clinton Ave S
Rochester, NY 14618-2623
Mailing address
49 Pickford Dr
Rochester, NY 14618-4017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F381281 (NY) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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- Dawn Brennan, N.P.Pediatric Nurse Practitioner Rochester, NY NPI 1003914722
- David A. Levine, PNPPediatric Nurse Practitioner Rochester, NY NPI 1013531938
- Katelyn A. Marenus, NPPediatric Nurse Practitioner Rochester, NY NPI 1013641901
- Samantha Anne O'Brien, NPPediatric Nurse Practitioner Rochester, NY NPI 1013813575
- Anne C. SwantzPediatric Nurse Practitioner Rochester, NY NPI 1013948785
- Jean Elizabeth Mack-FoggPediatric Nurse Practitioner Rochester, NY NPI 1023048600
About NPI 1275685216
Jean Harris Mangold, PNP's National Provider Identifier is 1275685216, issued on Jan 18, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 8, 2007.