Jacqueline Mannen, BS

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

460 Spring St
Jeffersonville, IN 47130-3452

Phone

(812) 280-8020

NPI assigned

Oct 16, 2025

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1184590002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 ALABAMA AVE",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303452",
            "telephone_number": "812-280-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEN",
        "first_name": "JACQUELINE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micheal Malone
• Ryan J Malone, M.D.
• Anitha Mandadapu, M.D
• Donna S Mann, MSW, LCSW
• Jacob Mann, RBT
• Patri Marie Marconi, MD
• Courtney Nicole Marcum, RBT
• Kennedie Margarida, RBT
• Christina Dawn Marshall, RBT
• Maggie Marshall

• Community Health Worker in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Community Health Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.