National Provider Identifier
Jenna M Mann, CRNP
Jenna M Mann, CRNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Newark, NY and a listed phone number of (315) 359-2847.
Profile Overview
- NPI
- 1962926048
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- July 31, 2017
- Last Updated
- February 12, 2019
Practice Location
- 1200 Driving Park Ave
- Newark, NY 14513
Phone: (315) 359-2847
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Nurse Practitioner (363L00000X)
- Nurse Practitioner (363L00000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1962926048
- Entity Type
- Individual
- Last Name
- Mann
- First Name
- Jenna
- Middle Name
- M
- Credential
- CRNP
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Practice Street Address
- 1200 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 359-2847
- Practice Fax
- (315) 359-2806
- Enumeration Date
- July 31, 2017
- Last Updated
- February 12, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Nurse Practitioner (363L00000X), Registered Nurse (163W00000X)