Individual
ELIZABETH JANE ROSS MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889-4906
(252) 940-0602
Mailing address
120 W MARTIN LUTHER KING JR DR, WASHINGTON, NC 27889-4906
(252) 940-0602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009970
NC
363LF0000X
Family Nurse Practitioner
0024174025
VA
Other
Enumeration date
09/27/2016
Last updated
11/04/2019
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