MANZANITA MIND INSTITUTE PLLC
NPI 1174385058
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Q: What is Manzanita Mind Institute PLLC's NPI number?

The NPI number for Manzanita Mind Institute PLLC is 1174385058. It was assigned to this organization in the NPPES registry on January 26, 2024.

Q: What is Manzanita Mind Institute PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 26, 2024

3075 N SWAN RD STE 206, TUCSON, AZ 85712(520) 230-1065 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Manzanita Mind Institute Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANZANITA MIND INSTITUTE PLLC (NPI 1174385058) is a healthcare organization registered as a psychiatric/mental health in Tucson, Arizona and active in the NPI registry since January 2024. The organization lists Jolene Jacquart, Member, as its authorized official.

NPPES Registry Identity

NPI1174385058

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMANZANITA MIND INSTITUTE PLLC

Location Address3075 N SWAN RD STE 206Tucson, AZ 85712-1259

Mailing Address3075 N Swan Rd Ste 206Tucson, AZ 85712-1259 · (520) 230-1065

Phone(520) 230-1065

Organization SubpartNo

Authorized OfficialJolene JacquartMember · (510) 230-1065

Enumeration DateJanuary 26, 2024

NPPES CertifiedJanuary 20, 2024

✔ NPI 1174385058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

3075 N SWAN RD STE 206, Tucson, AZ 85712

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOLENE JACQUART PHD

Psychologist (Cognitive & Behavioral)

3075 N SWAN RD STE 206
TUCSON, AZ 85712

Pima County (520) 230-1065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manzanita Mind Institute PLLC's NPI number?

The NPI number for Manzanita Mind Institute PLLC is 1174385058. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Manzanita Mind Institute PLLC located?

Manzanita Mind Institute PLLC is located at 3075 N Swan Rd Ste 206, Tucson, AZ 85712. The listed phone number is (520) 230-1065.

What is Manzanita Mind Institute PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Manzanita Mind Institute PLLC was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.