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JENNIFER MANGEN CNP

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Neonatal

Provider NPI: 1215151550

Provider Information:
 JENNIFER  MANGEN CNP
Gender: F
Not Sole Proprietor

Practice Location:
700 CHILDRENS DR  COLUMBUS, OH 43205-2664 US
Tel: 614-722-2000  Fax: --

Business Mailing Address:
700 CHILDRENS DR  COLUMBUS, OH 43205-2664 US
Tel: 614-722-2000  Fax: 614-722-4565

NPI Information:
NPI: 1215151550
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LN0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Neonatal
OHAPRN.CNP.08440

Other Provider Identifiers:

IssuerNumberStateType
3029985OH05



American Medical Association 2012 taxonomy code information

Code: 363LN0000X

Type:

Classification:



Definition:



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