Individual
NAQUITA JACKSON MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1381 S PATRICK DR, 45TH MEDICAL GROUP, PATRICK AFB, FL 32925-3606
(678) 517-7363
Mailing address
1381 S PATRICK DR, 45TH MEDICAL GROUP, PATRICK AFB, FL 32925-3606
(678) 517-7363
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN117197
GA
Other
Enumeration date
02/05/2007
Last updated
08/25/2015
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