JORDAN MANDEVILLE
Nurse Practitioner - Psychiatric/Mental Health
Active
Individual
NPI: 1972387504
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Psychiatric/Mental Health | 363LP0808X | Yes | 209028150 (IL) |
Frequently Asked Questions
NPI 1972387504 is the National Provider Identifier for JORDAN MANDEVILLE, a Nurse Practitioner - Psychiatric/Mental Health provider located in Springfield, IL. This NPI was enumerated on August 23, 2023.
JORDAN MANDEVILLE practices at 1020 S 5TH ST, Springfield, IL 62703.
Quick Facts
- NPI
- 1972387504
- Type
- Individual
- Enumerated
- Aug 23, 2023
- Last Updated
- Aug 23, 2023
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