IndividualActive
Jessica Clark Manderville, RN
NPI 1750046843 · Registered Nurse · Ithaca, NY
Jessica Clark Manderville, RN is a Registered Nurse provider in Ithaca, NY (NPI 1750046843).
Provider details
- NPI number
- 1750046843
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 643474 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 Brown Rd
Ithaca, NY 14850-1247
Phone: (607) 274-6600
Street-level locationGet directions
Mailing address
55 Brown Rd
Ithaca, NY 14850-1247
Registry dates
- Enumerated
- 2021-11-03
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Frequently asked questions
- What is Jessica Clark Manderville's NPI number?
- Jessica Clark Manderville's National Provider Identifier (NPI) is 1750046843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Clark Manderville's specialty?
- Jessica Clark Manderville is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jessica Clark Manderville located?
- Jessica Clark Manderville's practice location on file with NPPES is 55 Brown Rd, Ithaca, NY 14850-1247.
- What is Jessica Clark Manderville's phone number?
- The practice phone number listed in the NPPES registry for Jessica Clark Manderville is (607) 274-6600.
- Is Jessica Clark Manderville's NPI active?
- Yes — Jessica Clark Manderville's NPI (1750046843) is active in the NPPES registry as of the last update on 2021-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.