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

Mandisa Maddox, CNA

Individual provider Nurse's Aide · NPI 1508464157

Mandisa Maddox, CNA is a Nurse's Aide in New Smyrna Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

209 Hickory St
New Smyrna Beach, FL 32168-8189
Phone: (386) 576-4198
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 120728 (FL)

Record details

NPI number1508464157
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedOctober 15, 2020
Last updated in NPPESDecember 19, 2020
Certification dateDecember 19, 2020
Mailing address209 Hickory St, New Smyrna Beach, FL 32168-8189

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