Individual
MRS. JANIS ELAINE MANESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.P.
Contact information
Practice address
11 GETTYSBURG N, CABOT, AR 72023-2729
(501) 590-4090
Mailing address
11 GETTYSBURG N, CABOT, AR 72023-2729
(501) 590-4090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R30788
AR
363LF0000X
Family Nurse Practitioner
Primary
PO1111
AR
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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