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Jackie Renee Manning, ARNP
Family Nurse Practitioner in Lake City, Florida
NPI 1265993091

Jackie Renee Manning is a Family Nurse Practitioner based in Macclenny, FL and is specialized in Family. Jackie Renee Manning practices in Lake City, FL and has the professional credentials of ARNP. The NPI Number for Jackie Renee Manning is 1265993091 and holds a License No. 11001650 (Florida).

The current practice location address for Jackie Renee Manning is 789 W Duval St, Lake City, FL and can be reached out via phone at 386-755-5044.

Location: 789 W Duval St, Lake City, FL, 32063-2137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265993091
Provider Name
Jackie Renee Manning
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
789 W Duval St, Lake City, FL, 32063-2137
Phone Number
386-755-5044
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
789 W Duval St
City
Lake City
State
Florida
Zip
32055-3811
Phone Number
386-755-5044
Fax Number
person
Provider Business Mailing Address Details
Address
789 W Duval St
City
Lake City
State
Florida
Zip
32055-3811
Phone Number
386-755-5044
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11001650 (Florida)
Definition
Definition to come...
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