Individual
JENNIFER L MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
50 POST OFFICE RD STE 304, WALDORF, MD 20602-3704
(301) 349-2448
(301) 349-2243
Mailing address
5140 PORT TOBACCO RD, NANJEMOY, MD 20662-3317
(240) 417-6424
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
6698
MD
363LF0000X
Family Nurse Practitioner
Primary
R120765
MD
Other
Enumeration date
11/28/2012
Last updated
12/19/2024
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