Individual
MRS. JENNIFER MANGOLD
Active
Individual
MRS. JENNIFER MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC
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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