Provider Demographics
NPI:1447942370
Name:MANN, JESSE LEE (DNP)
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:LEE
Last Name:MANN
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:JESSE
Other - Middle Name:
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6615 BELLE COTE CIR
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-3141
Mailing Address - Country:US
Mailing Address - Phone:801-721-2292
Mailing Address - Fax:
Practice Address - Street 1:6615 BELLE COTE CIR
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-3141
Practice Address - Country:US
Practice Address - Phone:801-721-2292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6888047-4405363LA2100X
TX1109042363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care