Individual provider · Type 1 NPI

Jessica R. Mandziara

Registered Nurse · Ferndale, MI

NPI number 1386303196 Active

Practice location

466 Pearson St
Ferndale, MI 48220-3308

Other practice locations

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-6900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X72242 (ID)
Registered Nurse Primary 163W00000X4704321864 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1386303196

Jessica R. Mandziara's National Provider Identifier is 1386303196, issued on Dec 9, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ferndale, MI. The record was last updated on Jul 24, 2025.