IndividualActive
Jennifer Mazanek
NPI 1922951219 · Nurse Practitioner · Centralia, IL
Jennifer Mazanek is a Nurse Practitioner provider in Centralia, IL (NPI 1922951219).
Provider details
- NPI number
- 1922951219
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209035018 (IL)
Practice location
1003 E Mccord St
Centralia, IL 62801-3345
Phone: (618) 436-6633
Street-level locationGet directions
Mailing address
1003 E Mccord St
Centralia, IL 62801-3345
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.