Individual provider · Type 1 NPI

Jacqueline S. Mangrum, LPN

Licensed Practical Nurse · Phoenix, AZ

NPI number 1750583886 Active

Practice location

3401 N 67th Ave
Phoenix, AZ 85033-4517

Call (623) 691-4085 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP014022 (AZ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750583886

Jacqueline S. Mangrum, LPN's National Provider Identifier is 1750583886, issued on Jun 1, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.