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MICHAEL MANGUM
NPI 1184412462
Student in an Organized Health Care Education/Training Program in Jackson, MI

Active since April 28, 2025
205 N EAST AVE, JACKSON, MI 49201(517) 205-7060 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Mangum NPPES

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

MICHAEL MANGUM (NPI 1184412462) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1184412462
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL MANGUM
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address965 Wilson RdEast Lansing, MI 48824-6410
Phone(517) 205-7060
Sole ProprietorNo
Enumeration DateApril 28, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1184412462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 N EAST AVE, Jackson, MI 49201
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Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4811
TERRI LYNN LADWIG ACNP-BC
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
SAMANTHA MISHRA DO
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4800
JOSHUA BOOTH CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NADINE BALLOUT MD
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4730
MICHELLE WINTERS
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NINA MARIE BOCK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (248) 990-5924
MRS. CHRISTINE HUFF RDN
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201
Jackson County (517) 768-7793

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 Michael Mangum's NPI number?

The NPI number for Michael Mangum is 1184412462. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Michael Mangum located?

Michael Mangum practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-7060.

What is Michael Mangum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Mangum was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.