IndividualActive
Jeanette Mann
NPI 1417569229 · Family Nurse Practitioner · Raphine, VA
Provider details
- NPI number
- 1417569229
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0024179838 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
25 Commerce Park Dr
Raphine, VA 24472-2547
Phone: (540) 490-2527
Approximate (ZIP-level) locationGet directions
Mailing address
111 Maple Ln
Covington, VA 24426-6115
Registry dates
- Enumerated
- 2020-08-21
- Last updated
- 2020-10-13
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.