DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. JENNIFER MANTER LANCASTER CRNA

MEDICARE: MS. JENNIFER MANTER LANCASTER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist80491NC
2163W00000XRegistered NurseRN-254444OH
3367500000XCertified Registered Nurse AnesthetistNA07357OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801893839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER MANTER LANCASTER CRNA
Provider Business Mailing Address
First Line : 197 TRIXIE LN
Second Line :
City : GROTTOES
State : VA
Zip : 24441-4900
Country : US
Telephone Number : 980-322-7409
Fax Number :
Provider Business Practice Location Address
First Line : 10628 PARK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-8407
Country : US
Telephone Number : 704-667-1000
Fax Number : 704-667-0409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 05/25/2026

Similar Medicare Providers

1134051048 — LEAH JOHNSON
Practice Location Address:
10628 PARK RD
CHARLOTTE, NC
28210-8407
Practice Phone: 704-667-1000
Practice Fax:
1700010949 — KARA GALLAGHER MD
Practice Location Address:
10628 PARK RD
CHARLOTTE, NC
28210-8407
Practice Phone: 704-667-7070
Practice Fax:
1487653416 — DR. ELTON TRAVIS SMITH JR. MD
Practice Location Address:
10628 PARK RD
CHARLOTTE, NC
28210-8407
Practice Phone: 704-973-5500
Practice Fax:
1629079140 — DR. JARED G BLOCK M.D.
Practice Location Address:
10628 PARK RD
CHARLOTTE, NC
28210-8407
Practice Phone: 704-973-5500
Practice Fax:
1053312215 — DR. LINDA J. MATTHEWS M.D.
Practice Location Address:
10628 PARK RD
CHARLOTTE, NC
28210-8407
Practice Phone: 704-973-5500
Practice Fax:
1114929924 — DR. KEVIN SCOTT SMITH M.D.
Practice Location Address:
10628 PARK RD
CHARLOTTE, NC
28210-8407
Practice Phone: 704-973-5500
Practice Fax:

Directions to “ MS. JENNIFER MANTER LANCASTER CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.