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

Jennifer Lynn Mabanta

Individual provider Licensed Practical Nurse · NPI 1326546623

Jennifer Lynn Mabanta is a Licensed Practical Nurse in East Patchogue, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

210 Swezey St
East Patchogue, NY 11772-5702
Phone: (631) 205-8584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 298435 (NY)

Record details

NPI number1326546623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 1, 2018
Last updated in NPPESFebruary 1, 2018

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