location
search-icon
person
Jordan Kelly Mandeville
Psychiatric/Mental Health Nurse Practitioner in Springfield, Illinois
NPI 1972387504

Jordan Kelly Mandeville is a Psychiatric/Mental Health Nurse Practitioner based in New Berlin, IL and is specialized in Psychiatric/Mental Health. Jordan Kelly Mandeville practices in Springfield, IL. The NPI Number for Jordan Kelly Mandeville is 1972387504 and holds a License No. 209028150 (Illinois).

The current practice location address for Jordan Kelly Mandeville is 1020 S 5Th St, Springfield, IL and can be reached out via phone at 217-544-3143.

Location: 1020 S 5Th St, Springfield, IL, 62670-4570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972387504
Provider Name
Jordan Kelly Mandeville
Credential
Provider Entity Type
Individual
Gender
Female
Address
1020 S 5Th St, Springfield, IL, 62670-4570
Phone Number
217-544-3143
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1020 S 5Th St
City
Springfield
State
Illinois
Zip
62703-2312
Phone Number
217-544-3143
Fax Number
person
Provider Business Mailing Address Details
Address
1020 S 5Th St
City
Springfield
State
Illinois
Zip
62703-2312
Phone Number
217-544-3143
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209028150 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.