Individual
JESSICA SUSAN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2707 S CUPERTINO DR, GILBERT, AZ 85295-3686
(480) 612-7078
Mailing address
2707 S CUPERTINO DR, GILBERT, AZ 85295-3686
(480) 612-7078
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
270966
AZ
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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