Individual
JENNIFER MANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 722-4565
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN.CNP.08440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3029985
—
OH
Enumeration date
04/11/2007
Last updated
03/28/2022
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