Individual provider · Type 1 NPI

Jonnette Ann Manifold

Licensed Practical Nurse · Bronx, NY

NPI number 1467140996 Active

Practice location

772 E 233rd St
Bronx, NY 10466-3172

Mailing address

11545 140th St # 1
Jamaica, NY 11436-1018

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X331026-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1467140996

Jonnette Ann Manifold's National Provider Identifier is 1467140996, issued on Apr 24, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Apr 24, 2023.