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

Jenna M Mann, CRNP

Individual provider Registered Nurse · NPI 1962926048

Jenna M Mann, CRNP is a Nurse Practitioner in Newark, New York. Qualified in 2016, 10 years ago. Works from 5 locations and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
10
Licensed in
NY, PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1200 Driving Park Ave
Newark, NY 14513
Phone: (315) 359-2847
Fax: (315) 359-2806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2 Coulter Rd, Clifton Springs, NY 14432-1122 — (315) 462-1472
  • 1425 Portland Ave, Rochester, NY 14621-3001 — (585) 922-5067
  • 420 S 5th Ave, West Reading, PA 19611-2143 — (484) 628-5455
  • 420 S 5th Ave, West Reading, PA 19611-2143 — (484) 628-5455

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 341400 (NY)
Registered Nurse Taxonomy 163W00000X · Licence RN692886 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP017917 (PA)

Record details

NPI number1962926048
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESFebruary 12, 2019
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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