Jessica Jane Manges, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9254601 Issued in FL

Practice address

202 Lake Miriam Dr
S-1
Lakeland, FL 33813-2180

Phone

(863) 647-2333

Fax

(863) 393-1995

NPI assigned

Dec 14, 2011

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Francis a Caban MD PA

  dba Caban Skin Institute

  • Dermatology Physician
  • Brandon, FL
  • NPI 1013105626
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1033488408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LAKE MIRIAM DR",
            "address_2": "S-1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132180",
            "telephone_number": "863-647-2333",
            "fax_number": "863-393-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LAKE MIRIAM DR",
            "address_2": "S-1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132180",
            "telephone_number": "863-647-2333",
            "fax_number": "863-393-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGES",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9254601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avinash Mamgain
• Bernard Mamphey, OD
• Monique Manderson, FNP-C, PMHNP-BC
• Maneesha Chigurupati DDS, PLLC
• Catherine Concepcion Mangalili, APRN
• Marizza Mangune-Kalaw
• Carley Adele Maniscalco, CF-SLP
• Michael Mankbadi, MD
• Amanda Sarah Mann, L.M.
• Angela Annette Mann, APRN

• Adult Health Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.