Individual
JENNIFER MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1251 RTE 37 W, TOMS RIVER, NJ 08755-5050
(732) 797-3824
(732) 797-3812
Mailing address
94 STEVENS RD, CHILDREN'S SPECIALIZED HOSPITAL, TOMS RIVER, NJ 08755-1490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00677800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00677800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0544825
—
NJ
Enumeration date
10/19/2016
Last updated
10/10/2024
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