Individual
KATHLEEN ROXANNE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
(251) 633-1000
Mailing address
7751 BELFORT PKWY STE 120, JACKSONVILLE, FL 32256-6921
(904) 372-3943
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3-002870
AL
Other
Enumeration date
03/16/2026
Last updated
04/24/2026
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