Individual provider · Type 1 NPI
Kathleen Roxanne Manning, AGPCNP-BC
Nurse Practitioner · Mobile, AL
Practice location
6801 Airport Blvd
Mobile, AL 36608-3709
Mailing address
7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3-002870 (AL) |
| Gerontology Nurse Practitioner | 363LG0600X | 3-002870 (AL) |
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 1639026883
Kathleen Roxanne Manning, AGPCNP-BC's National Provider Identifier is 1639026883, issued on Mar 16, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mobile, AL. The record was last updated on Jul 15, 2026.