Individual
JESSICA LYNN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 E ELM AVE, GALLOWAY, NJ 08205-4327
(609) 338-1356
Mailing address
414 E ELM AVE, GALLOWAY, NJ 08205-4327
(609) 338-1356
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15478000
NJ
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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