Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deja Mandy, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1538926993

Deja Mandy, APRN is a Nurse Practitioner in St Petersburg, Florida. Qualified in 2020, 6 years ago. Practices with Professional Health Care of Pinellas, LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1839 Central Ave
St Petersburg, FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 821-7213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN11023581 (FL)

Record details

NPI number1538926993
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMay 24, 2024
Certification dateMarch 3, 2024
Mailing address1839 Central Avenue, St Petersburg, FL 33713-8900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Professional Health Care Of Pinellas, Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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