Individual
JILL MARIE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
160164
CO
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
004904
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019723
KAISER COMMERCIAL NUMBER
CO
05
—
69683018
—
CO
Enumeration date
07/18/2006
Last updated
05/23/2021
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