Individual provider · Type 1 NPI

Jacqueline M. La Manna, ARNP

Nurse Practitioner · Melbourne, FL

NPI number 1609287507 Active

Practice location

2275 S. Babcock St.
Melbourne, FL 32901-5305

Fax (321) 984-4825

Mailing address

2575 N. Courtenay Pkwy
Merritt Island, FL 32953

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Nurse Practitioner Primary 363L00000XARNP1636342 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609287507

Jacqueline M. La Manna, ARNP's National Provider Identifier is 1609287507, issued on May 13, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Melbourne, FL. The record was last updated on May 13, 2014.