Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MAZZOLA
Active Sole ProprietorJENNIFER MAZZOLA is a Psychiatric Residential Treatment Facility healthcare provider located in MUNCIE, Indiana. NPI 1750955415 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · MUNCIE, IN
Registration Details
- NPI Number
- 1750955415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2021 (5.2757092397935 yrs)
- Last Updated
- May 18, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
3700 W KILGORE AVEMUNCIE, IN, 473044810Browse IN providers · Browse ZIP 47304
- Phone
- 7657475223
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.