Jennifer Mangel, CRNP
Nurse Practitioner, Family in Wyndmoor, PA. Individual provider (NPI-1).
NPI number1740984012
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1740984012
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Mangel
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP027339 | PA | Yes |
Practice location
8765 Stenton AveWyndmoor, PA 19038-8317
Phone 917-658-2544
Mailing address
1340 Green Hill AveWest Chester, PA 19380-3960
Phone 917-658-2544
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