Individual provider · Type 1 NPI

Jackie Renee Manning, ARNP

Family Nurse Practitioner · Lake City, FL

NPI number 1265993091 Active

Practice location

789 W Duval St
Lake City, FL 32055-3811

Call (386) 755-5044 Map

Mailing address

191 E Ohio Ave
Macclenny, FL 32063-2137

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11001650 (FL)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1265993091

Jackie Renee Manning, ARNP's National Provider Identifier is 1265993091, issued on Mar 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake City, FL. The record was last updated on Mar 26, 2019.