Individual provider · NPI-1

Mandy Jarvis, APRN

Nurse Practitioner, Family · Rock Springs, WY

NPI number1366903445
StatusActive
Last updated in NPPESMay 7, 2025

Details

NPI
1366903445
Entity type
Individual (NPI-1)
Name
Mandy Jarvis
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 29, 2019
Certification date
May 7, 2025
Last updated
May 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family44162WYYes
363LF0000X Nurse Practitioner, Family5244410-4405UT

Practice location

120 Winston Dr Ste 101
Rock Springs, WY 82901-5833

Phone 307-352-9602

Mailing address

120 Winston Dr Ste 101
Rock Springs, WY 82901-5833

Phone 307-352-9602 · Fax 866-422-2113

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