Jessica Grace Mangum, is a
Counselor - Addiction (substance Use Disorder) based in Apex, North Carolina. Jessica Grace Mangum is licensed to practice in * (Not Available) (license number ) and her current practice location is
2172 N Salem St Ste 105, Apex, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 639-4360.
NPI number for Jessica Grace Mangum is 1316685761 and her current mailing address is 65 Creekstone Ct, Holly Springs, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316685761.
Healthcare Provider's Profile
| Full Name | Jessica Grace Mangum |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2172 N Salem St Ste 105, Apex, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316685761
- Provider Enumeration Date: 05/25/2022
- Last Update Date: 05/25/2022
Medical Identifiers
Medical identifiers for Jessica Grace Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316685761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Grace Mangum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Grace Mangum,
65 Creekstone Ct,
Holly Springs, NC 27540-7111
Ph: (919) 745-0464 | Jessica Grace Mangum,
2172 N Salem St Ste 105,
Apex, NC 27523-6457
Ph: (919) 639-4360 |
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