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

Jadeka Motley Mangrum, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407536956

Jadeka Motley Mangrum, PMHNP is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2022, 4 years ago. Practices with The Moses H Cone Memorial Hospital Operating Corporation, a 724-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone: (336) 210-5641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Glendale Dr Apt H, Greensboro, NC 27406-6469 — (336) 210-5641

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5018483 (NC)

Record details

NPI number1407536956
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Moses H Cone Memorial Hospital Operating Corporation — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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