IndividualActive
Mandrell Jack
NPI 1831912450 · Nurse's Aide · New Orleans, LA
Provider details
- NPI number
- 1831912450
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 300248 (LA)
Mailing address
646 S Gayoso St
New Orleans, LA 70119-7249
Registry dates
- Enumerated
- 2024-11-02
- Last updated
- 2024-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.