Individual
JENNIFER K MANTLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5500 ARMSTRONG RD, BATTLE CREEK, MI 49037-7314
(269) 966-5600
(269) 223-6063
Mailing address
5500 ARMSTRONG RD, BATTLE CREEK, MI 49037-7314
(269) 966-5600
(269) 223-6063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1089323
KY
163W00000X
Registered Nurse
4704208391
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3006694
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704208391
MI
Other
Enumeration date
07/26/2010
Last updated
10/28/2016
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