Active NPIIndividual provider

Jessie T Mangs, PA

Physician Assistant, Medical in Litchfield, Connecticut

NPI Number1548733140
Practice location
481 Bantam RD, Litchfield, CT 06759-3202
Fax
—
Last updated
September 15, 2022

Jessie T Mangs is a Physician Assistant, Medical based in Litchfield, CT. Jessie T Mangs practices in Litchfield, CT and has the professional credentials of PA. The NPI Number for Jessie T Mangs is 1548733140. The current practice location address for Jessie T Mangs is 481 Bantam RD, Litchfield, CT 06759-3202 and can be reached out via phone at 860-567-1263.

Provider Profile Details

NPI Number
1548733140
Provider Name
Jessie T Mangs
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
481 Bantam RD, Litchfield, CT 06759-3202
Phone Number
860-567-1263
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 7, 2019
Last Update Date
September 15, 2022
Certification Date
September 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
481 Bantam RD
Litchfield, CT 06759-3202
Zip
06759-3202
Phone Number
860-567-1263
Litchfield, CT 06759Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy Ste 102
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337
Phone Number
860-972-6977
Fax Number
860-972-7040

License Information

License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessie T Mangs, PA?

The NPI number of Jessie T Mangs, PA is 1548733140. It was assigned on January 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessie T Mangs, PA?

Jessie T Mangs, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).

Where does Jessie T Mangs, PA practice?

The practice location is 481 Bantam RD, Litchfield, CT 06759-3202. The office can be reached at 860-567-1263 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548733140 directly on the NPPES registry website.

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