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Individual

MRS. JENNIFER MANGOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, FNP-BC

Contact information

Practice address
1600 KIRKWOOD HWY, WILMINGTON, DE 19805-4918
(302) 633-5384
(302) 633-5384
Mailing address
1300 DOUGLAS CIR, KEY WEST, FL 33040-4536
(305) 293-4862

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
LG-0011856
DE
364SF0001X
Family Health Clinical Nurse Specialist
SP10248
PA

Other

Enumeration date
03/26/2009
Last updated
12/29/2021
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