MRS. JACQUELINE S MANGRUM LPN - NPI 1750583886 - Licensed Practical Nurse in Phoenix, AZ

Q: What is Jacqueline Mangrum's NPI number?

The NPI number for Jacqueline Mangrum is 1750583886. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Q: What is Jacqueline Mangrum's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Mrs. Jacqueline S Mangrum Lpn NPPES

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

MRS. JACQUELINE S MANGRUM LPN (NPI 1750583886) is an individual licensed practical nurse in Phoenix, Arizona, licensed in Arizona (LP014022) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1750583886

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. JACQUELINE S MANGRUMCredential: LPN

Location Address3401 N 67TH AVEPhoenix, AZ 85033-4517

Mailing Address3401 N 67th AvePhoenix, AZ 85033-4517 · (623) 691-4085

Phone(623) 691-4085

Sole ProprietorNo

Enumeration DateJune 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750583886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AZ · LP014022

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3401 N 67TH AVE, Phoenix, AZ 85033

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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.

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