MANDRELL MONTEL JACK
NPI 1831912450
Nurse's Aide in New Orleans, LA

Active since November 02, 2024
646 S GAYOSO ST, NEW ORLEANS, LA 70119(504) 666-2016 Get Directions Write a Review

NPPES record last updated: November 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mandrell Montel Jack NPPES

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

MANDRELL MONTEL JACK (NPI 1831912450) is an individual nurse's aide in New Orleans, Louisiana, licensed in Louisiana (300248) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1831912450
Entity TypeIndividualMale
Primary Taxonomy376K00000X
Provider Legal NameMANDRELL MONTEL JACK
Location Address646 S GAYOSO STNew Orleans, LA 70119-7249
Mailing Address646 S Gayoso StNew Orleans, LA 70119-7249 · (504) 666-2016
Sole ProprietorYes
Enumeration DateNovember 2, 2024
NPPES CertifiedNovember 2, 2024
NPI 1831912450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in LA · 300248
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
646 S GAYOSO ST, New Orleans, LA 70119

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 Mandrell Jack's NPI number?

The NPI number for Mandrell Jack is 1831912450. It was assigned to this individual provider in the NPPES registry on November 2, 2024.

Where is Mandrell Jack located?

Mandrell Jack practices at 646 S Gayoso St, New Orleans, LA 70119. The listed phone number is (504) 666-2016.

What is Mandrell Jack's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Mandrell Jack was last updated on November 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.