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

Mrs. Deanna Marie Mantle

Individual provider Family Nurse Practitioner · NPI 1194117671

Mrs. Deanna Marie Mantle is a Nurse Practitioner in Jefferson City, Missouri. Qualified in 2015, 11 years ago. Practices with The Curators of the University of Missouri, a 1,093-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5581
Fax: (573) 632-5876
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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 2008020776 (MO)

Record details

NPI number1194117671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESFebruary 20, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Curators Of The University Of Missouri — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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