| NPI | 1467653550 |
|---|---|
| Other Name | JACQUELINE RAY MANION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4541P) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: IN 71001870C) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-11-23 |