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

Mandrell Montel Jack

Individual provider Nurse's Aide · NPI 1831912450

Mandrell Montel Jack is a Nurse's Aide in New Orleans, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2024

Practice location Address checks out

646 S Gayoso St
New Orleans, LA 70119-7249
Phone: (504) 666-2016
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 300248 (LA)

Record details

NPI number1831912450
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 2, 2024
Last updated in NPPESNovember 2, 2024
Certification dateNovember 2, 2024

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