Manos, Jennifer M

Manos, Jennifer M is an individual health care provider with primary practice located at 808 South 52Nd Street , Rogers AR 72758-8602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Manos, Jennifer M can be contacted via phone (479) 936-9900.

Contact Information

Primary practice address
808 South 52Nd Street Rogers AR 72758-8602
Phone: (479) 936-9900
Fax: (479) 587-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A03532 Arkansas

Profile Details

NPI number 1962701466
LBN Legal business name Manos, Jennifer M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Mar 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962701466 NPPES
Missouri MEDICAID 1962701466
Missouri MEDICAID 190323758
Missouri MEDICAID 200408730A

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