Individual
JANET E. MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 751-2825
(478) 751-2897
Mailing address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 751-2825
(478) 751-2897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN064302
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN064302 NP
GA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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