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MRS. JENNIFER ANN MANDEVILLE OTR/L
NPI 1720332323
Specialist in Killingworth, CT

Active since November 04, 2012
14 DEER RIDGE RD, KILLINGWORTH, CT 06419(860) 917-0499 Get Directions Write a Review

NPPES record last updated: November 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jennifer Ann Mandeville Otr/l NPPES

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

MRS. JENNIFER ANN MANDEVILLE OTR/L (NPI 1720332323) is an individual specialist in Killingworth, Connecticut and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1720332323
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. JENNIFER ANN MANDEVILLECredential: OTR/L
Location Address14 DEER RIDGE RDKillingworth, CT 06419-2326
Mailing Address14 Deer Ridge RdKillingworth, CT 06419-2326 · (860) 917-0499
Phone(860) 917-0499
Sole ProprietorYes
Enumeration DateNovember 4, 2012
✔ NPI 1720332323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
14 DEER RIDGE RD, Killingworth, CT 06419
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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 Jennifer Mandeville's NPI number?

The NPI number for Jennifer Mandeville is 1720332323. It was assigned to this individual provider in the NPPES registry on November 4, 2012.

Where is Jennifer Mandeville located?

Jennifer Mandeville practices at 14 Deer Ridge Rd, Killingworth, CT 06419. The listed phone number is (860) 917-0499.

What is Jennifer Mandeville's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Mandeville was last updated on November 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.