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

Marissa N Mangum, APRN

Individual provider Family Nurse Practitioner · NPI 1881486686

Marissa N Mangum, APRN is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2025, 1 year ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1500 Beville Rd Ste 502
Daytona Beach, FL 32114-5616
Phone: (386) 231-4690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11039415 (FL)

Record details

NPI number1881486686
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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