Individual
JENNIFER J MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
171 NW MEDICAL LOOP STE 1&2, ROSEBURG, OR 97471-8822
(541) 537-8007
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
(702) 786-6650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200441163RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441163RN
—
OR
Enumeration date
10/05/2018
Last updated
12/27/2022
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