Individual
JACLYN NICOLE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(816) 608-3481
(816) 608-3481
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2010022645
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010022645
RN LICENSE NUMBER
MO
Enumeration date
06/05/2026
Last updated
06/05/2026
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