Individual provider · Type 1 NPI
Jill G. Mandt, FNP
Family Nurse Practitioner · Elmendorf Afb, AK
NPI number
1609918689
Active
Practice location
5955 Zeamer Ave
Elmendorf Afb, AK 99506-3702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 937 (AK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609918689
Jill G. Mandt, FNP's National Provider Identifier is 1609918689, issued on Feb 13, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Elmendorf Afb, AK. The record was last updated on Aug 16, 2007.