Individual provider · Type 1 NPI

Cody Ray Mandrell, APRN

Nurse Practitioner · Lubbock, TX

NPI number 1912209073 Active

Practice location

3502 9th St Ste 430
Lubbock, TX 79415-3368

Fax (806) 761-0534

Mailing address

5219 City Bank Pkwy Ste 160
Lubbock, TX 79407-3544

Other practice locations

  • 602 Indiana Ave, Lubbock, TX 79415-3364 · (806) 761-0333

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP119696 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1912209073

Cody Ray Mandrell, APRN's National Provider Identifier is 1912209073, issued on Nov 23, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lubbock, TX. The record was last updated on Sep 3, 2026.