SearchNew Mexico101YA0400X

Jennifer Mangum, LADAC

NPI 1265365639 · on the registry since 2026

Practice

Address
100 Deputy Dean Miera Dr Sw
Albuquerque, NM 87151
Phone
(505) 365-7519
Organisation at this address
Recovery Services Of New Mexico Mdc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 5901 Zuni Rd Se, Albuquerque, NM

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico