JENNA M MANN


Address: 1200 Driving Park Ave, Newark, NY 14513
Phone: 3153592847

JENNA M MANN (NPI# 1962926048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962926048
Entity Type Individual
Full Name JENNA M MANN
Credential CRNP
Practice Address 1200 Driving Park Ave
Newark
NY 14513
Mailing Address 100 Kings Hwy S
Rochester
NY 14617-5504
Practice Telephone 3153592847
Practice Fax Number 3153592806
Mailing Telephone 5859220553
Enumeration Date 2017-07-31
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN692886 PA Nursing Service Providers
Y 363L00000X Nurse Practitioner 341400 NY Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner SP017917 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1425 Portland Ave, Rochester, NY 146213001 5859225067 5859222908
2 Coulter Rd, Clifton Springs, NY 144321122 3154621472 3154622639
420 S 5th Ave, West Reading, PA 196112143 4846285455 4846285772

Other Providers JENNA MANN

NPI Name Taxonomy Address Enumeration
1467707091 Jenna L Mann Pharmacist 2201 N Broadwell Ave, (119), Grand Island, NE 68803-2153 2012-07-19
1992921795 Jenna R Mann Occupational Therapist 340 E 24th St, New York, NY 10010-4019 2007-04-18

Office Location

Street Address 1200 DRIVING PARK AVE
City NEWARK
State NY
Zip Code 14513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396741898 Lawrence N. Chessin Internal Medicine 1200 Driving Park Ave, Newark, NY 14513-1057 2005-06-21
1477162725 Aidan Sullivan Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-23
1649898834 Nicholas D Biermann Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-14
1780222604 Erin Hart Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1861030785 Lauren Conaty Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-11
1255978540 Andrea Lorene Ide Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-12-05
1326682618 Thomas William Jackson Mspt Physical Therapist 1200 Driving Park Ave, Newark, NY 14513-1090 2019-10-30
1578113189 Natalie A Davidson Nurse Practitioner 1200 Driving Park Ave, Newark, NY 14513 2019-09-16
1164076659 Meritt F Rogers Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-08-01
1992366744 Allison Marie Triou Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2019-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881215648 Susan Marie Oberdorf Speech-Language Pathologist 133 Elmwood, Newark, NY 14513 2020-05-04
1871077404 Aisha E Wagner Nurse Practitioner 1304 Driving Park Avenue, Newark, NY 14513 2018-09-19
1689192817 Melanie Swarthout Case Manager/Care Coordinator 150 Van Buren St., Newark, NY 14513 2017-09-08
1942650882 Donna Joy Collins I Speech-Language Pathologist 848 Pierson Avenue, Newark, NY 14513 2016-06-21
1972952661 Cj-mak Transportation, Inc. Non-emergency Medical Transport (VAN) 227 State Farm Road, Newark, NY 14513 2016-06-03
1306214473 Stephanie Belli Licensed Practical Nurse 5904 Austin Road, Newark, NY 14513 2015-09-08
1992186712 Nicole Harris Nursing Facility/Intermediate Care Facility 132 Willow Avenue, Newark, NY 14513 2015-06-17
1861802373 Jeffrey Spencer Urology 1202 Driving Park Ave Ste 5, Newark, NY 14513 2014-05-06
1609126648 Natasha Triplett Student in an Organized Health Care Education/Training Program 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 2012-09-18
1922377902 Lisa E. Williams Licensed Practical Nurse 701 Peirson Ave., Newark, NY 14513 2011-12-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407497 Brooke Ashley Sforza Nurse Practitioner 7518 Linnville Rd, Newark, OH 43056-9340 2020-11-03
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1104431352 Robert Storm Speelman Nurse Practitioner 1155 Saxony Dr, Newark, OH 43055-5643 2020-09-14
1770133613 Brooke Elise Abraham Nurse Practitioner 131 Rocky Fork Dr, Newark, OH 43055-8929 2019-09-12
1639636236 Danielle Ashley Westenberger Nurse Practitioner 201 Lyons Ave # L4, Newark, NJ 07112-2027 2019-03-01
1407321482 Jessie L Powell Nurse Practitioner 4755 Ogletown Stanton Rd Dept, Newark, DE 19718-2200 2018-10-05
1851892954 Chito Pascual Nurse Practitioner 7600 Gateway Blvd., Newark, CA 94560 2018-02-23
1588192421 Kareemah Hammond Nurse Practitioner 280 E Main St Ste 112, Newark, DE 19711-7324 2017-05-23
1285168070 Lin Chen Nurse Practitioner 201 Lyons Ave Ste D12, Newark, NJ 07112-2027 2017-04-18
1700329331 Fanta Schwarz Nurse Practitioner 514 W Hummock Ln, Newark, DE 19702-1498 2016-11-30
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Competitor

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City NEWARK
Zip Code 14513

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Dataset Information

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.

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