Individual
JORDYN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP
Contact information
Practice address
4830 LINE AVE, SHREVEPORT, LA 71106-1530
(903) 490-8744
Mailing address
1014 FAYETTEVILLE RD, VAN BUREN, AR 72956-3427
(903) 490-8744
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
214635
AR
Other
Enumeration date
02/01/2025
Last updated
02/01/2025
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