Jessica R Mandziara
Jessica R Mandziara is a Nurse Practitioner in Ferndale, Michigan. Qualified in 2021, 5 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Michigan.
- Years since qualifying
- 5
- Licensed in
- ID, MI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
466 Pearson StFerndale, MI 48220-3308
Phone: (734) 752-3476
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-6900
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 4704321864 (MI) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 72242 (ID) |
Record details
| NPI number | 1386303196 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 9, 2021 |
| Last updated in NPPES | July 24, 2025 |
| Certification date | July 24, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Kootenai Health Inc — 394 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Ferndale
-
A1 Optimum Health Logistics LLC
195 W 9 Mile Rd Ste 207, Ferndale, MI 48220-1750 · (313) 522-4058
-
Mrs. Alice Arulselvi Andrews
10300 W 8 Mile Rd, Ferndale, MI 48220-2100 · (248) 398-3200
-
Michael J Hudson, NP
10300 W 8 Mile Rd, Ferndale, MI 48220-2100 · (313) 587-4766