National Provider Identifier
Jean Harris Mangold, PNP
Jean Harris Mangold, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 256-2210.
Profile Overview
- NPI
- 1275685216
- Provider Type
- Individual
- Primary Specialty
- Pediatric Nurse Practitioner
- Enumeration Date
- January 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2225 Clinton Ave S
- Rochester, NY 14618-2623
Phone: (585) 256-2210
Mailing Address
- 49 Pickford Dr
- Rochester, NY 14618-4017
Specialties
- Pediatric Nurse Practitioner (363LP0200X)
Full Record
- NPI
- 1275685216
- Entity Type
- Individual
- Last Name
- Mangold
- First Name
- Jean
- Middle Name
- Harris
- Credential
- PNP
- Mailing Street Address
- 49 Pickford Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-4017
- Mailing Country
- US
- Mailing Phone
- (585) 442-9802
- Practice Street Address
- 2225 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2623
- Practice Country
- US
- Practice Phone
- (585) 256-2210
- Enumeration Date
- January 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Nurse Practitioner (363LP0200X)