Individual
JORDAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
470 S PRESCOTT ST, MEMPHIS, TN 38111-8205
(678) 488-5225
Mailing address
470 S PRESCOTT ST, MEMPHIS, TN 38111-8205
(678) 488-5225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5484
TN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/23/2023
Last updated
01/04/2024
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