Individual provider · Type 1 NPI
Jenna M. Mann, CRNP
Nurse Practitioner · Newark, NY
Practice location
1200 Driving Park Ave
Newark, NY 14513
Fax (315) 359-2806
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Other practice locations
- 420 S 5th Ave, West Reading, PA 19611-2143 · (484) 628-5455
- 420 S 5th Ave, West Reading, PA 19611-2143 · (484) 628-5455
- 1425 Portland Ave, Rochester, NY 14621-3001 · (585) 922-5067
- 2 Coulter Rd, Clifton Springs, NY 14432-1122 · (315) 462-1472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN692886 (PA) |
| Nurse Practitioner | 363L00000X | SP017917 (PA) |
| Nurse Practitioner Primary | 363L00000X | 341400 (NY) |
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 1962926048
Jenna M. Mann, CRNP's National Provider Identifier is 1962926048, issued on Jul 31, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, NY. The record was last updated on Feb 12, 2019.