Individual
JONATHAN DOUGLAS MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1520 W 53RD ST, DAVENPORT, IA 52806-2459
(563) 421-3840
Mailing address
1520 W 53RD ST, DAVENPORT, IA 52806-2459
(563) 421-3840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028686
IL
363LF0000X
Family Nurse Practitioner
Primary
A190443
IA
Other
Enumeration date
11/09/2023
Last updated
08/05/2026
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