Individual provider · Type 1 NPI
Jordan Kelly Mandeville
Psychiatric/Mental Health Nurse Practitioner · Springfield, IL
NPI number
1972387504
Active
Practice location
3901 Pintail Dr Ste A
Springfield, IL 62711-6768
Fax (217) 544-4436
Mailing address
61 Bourbaki Rd
New Berlin, IL 62670-4570
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209028150 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
- Killian and Associates SCPsychiatry Physician Springfield, IL NPI 1487642708
- Karma Lynn Carpenter, LCSWClinical Social Worker Springfield, IL NPI 1467625764
- Patricia Jean Follin, LCPCProfessional Counselor Springfield, IL NPI 1376531707
- Terry M. Killian, MDPsychiatry Physician Springfield, IL NPI 1447248869
Other psychiatric/mental health nurse practitioner providers in Springfield
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- Mary Catherine Knutson, APRN/PMHCNSPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1043722770
- Heather Lyn DuartePsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1043981285
- Kim A. Earl, APRN, PMHNP, FNPPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1063669497
- Jayla Breann LangfelderPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1063990273
- Kelci Lynn Capps, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1073228771
- Melissa S. Adams, APNPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1083596217
- Mary Brooks, APRN-FPAPsychiatric/Mental Health Nurse Practitioner Springfield, IL NPI 1124579099
About NPI 1972387504
Jordan Kelly Mandeville's National Provider Identifier is 1972387504, issued on Aug 23, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Springfield, IL. The record was last updated on Jun 26, 2026.