JACKIE RENEE MANNING

LAKE CITY, FL
NPI1265993091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11001650)
Enumeration Date2019-03-26
Last Update Date2019-03-26
Business Address
JACKIE RENEE MANNING ARNP
789 W DUVAL ST
LAKE CITY, FL 32055-3811
Phone number: 386-755-5044
Mailing Address
JACKIE RENEE MANNING ARNP
191 E OHIO AVE
MACCLENNY, FL 32063-2137
Phone number: 904-545-0509