Individual
MANDY JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 WINSTON DR STE 101, ROCK SPRINGS, WY 82901-5833
(307) 352-9602
Mailing address
120 WINSTON DR STE 101, ROCK SPRINGS, WY 82901-5833
(307) 352-9602
(866) 422-2113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44162
WY
363LF0000X
Family Nurse Practitioner
5244410-4405
UT
Other
Enumeration date
03/29/2019
Last updated
05/07/2025
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