JENNIFER M MANTICA (NPI# 1801355185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801355185 |
| Entity Type | Individual |
| Full Name | JENNIFER M MANTICA |
| Credential | APRN |
| Practice Address |
3110 Nogalitos Ste 105 San Antonio TX 78225-2337 |
| Mailing Address |
520 Madison Oak Dr San Antonio TX 78258-3913 |
| Practice Telephone | 2105330257 |
| Practice Fax Number | 2105340890 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
788659 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3110 NOGALITOS STE 105 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78225-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093030512 | Geoffrey M Gonzales | Nurse Practitioner | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2010-03-29 |
| 1467949669 | Rozalia Ileana Carrasco | Physician Assistant | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2018-04-13 |
| 1063924751 | Candace C Burrell-miramontes | Nurse Practitioner | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2017-11-02 |
| 1649793837 | Ana Canelo Serrano | Chiropractor | 3110 Nogalitos Ste 105, San Antonio, TX 78225-2337 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881846525 | Roxane C Marines | Counselor | 626 Kirk Pl, San Antonio, TX 78225-1132 | 2008-10-14 |
| 1184786147 | Christopher Watkins | Dentist | 3606 S Zarzamora St, San Antonio, TX 78225-1359 | 2006-12-15 |
| 1194364125 | Rita Ag Pllc | Dentist | 3606 S Zarzamora St, San Antonio, TX 78225-1359 | 2019-12-20 |
| 1841598257 | A Bright Smile 4 Kids, LLC | Dentist | 3606 S Zarzamora St, San Antonio, TX 78225-1359 | 2011-03-09 |
| 1730194747 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2006-07-29 |
| 1194225979 | Rhonda Ann Fudge Hong | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2018-02-18 |
| 1063924686 | Serjo Martinez | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2017-11-05 |
| 1568835957 | Ernest Medina Jr. | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2015-11-05 |
| 1548642424 | Vivian Nwankwo | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2015-06-26 |
| 1134498538 | Clarence G Roussett | Pharmacist | 2710 Nogalitos, San Antonio, TX 78225-1750 | 2011-12-14 |
| Find all providers in zip 78225 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1033719521 | Macy Atkins | Nurse Practitioner | 6676 Utsa Blvd, San Antonio, TX 78249-5100 | 2020-10-26 |
| 1801494554 | Yordanis Rafael Fonseca Vega | Nurse Practitioner | 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117 | 2020-10-14 |
| 1255939237 | Ashley Elizabeth Swartz | Nurse Practitioner | 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 | 2020-10-13 |
| 1871190173 | Cynthia B Elkins | Nurse Practitioner | 24806 Terlingua Bnd, San Antonio, TX 78261-2726 | 2020-10-08 |
| 1588270623 | Amanda Razo | Nurse Practitioner | 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 | 2020-09-23 |
| 1255946935 | Norberto Hernandez Iv | Nurse Practitioner | 11501 Braesview Apt 3903, San Antonio, TX 78213-1262 | 2020-09-10 |
| 1033723655 | Hira Mughal | Nurse Practitioner | 9850 Twinbear Crk, San Antonio, TX 78245-9596 | 2020-09-01 |
| 1366055675 | Maria Christina Cruz Tijerina | Nurse Practitioner | 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 | 2020-08-26 |
| 1225649593 | Gina M Duron | Nurse Practitioner | 10730 Green Trail Dr, San Antonio, TX 78223-4224 | 2020-08-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78225 |
Please comment or provide details below to improve the information on JENNIFER M MANTICA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.