Jennifer Ellen Mann

Individual provider Active NPI Attendant Care Provider · Copperopolis, CA

NPI 1982401006 · NPPES record last updated Feb 26, 2025

Key facts

NPI
1982401006
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
459 Poker Flat Rd
Copperopolis, CA 95228-9617
Phone
(925) 533-7082
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

459 Poker Flat Rd
Copperopolis, CA 95228-9617

Mailing address

459 Poker Flat Rd
Copperopolis, CA 95228-9617
Phone (925) 533-7082

Other providers in Copperopolis, CA

All providers in Copperopolis, CA · Attendant Care Provider in California

Sources for this page

Verify at the official NPI Registry.