Individual
JESSICA L MANLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
400 ALTAIR PKWY STE 3100, WESTERVILLE, OH 43082-7653
(614) 899-2700
(614) 823-5656
Mailing address
400 ALTAIR PKWY STE 3100, WESTERVILLE, OH 43082-7653
(614) 899-2700
(614) 823-5656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123310
—
OH
Enumeration date
05/28/2013
Last updated
04/28/2025
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