Naquita Jackson Manning, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN117197 Issued in GA

Practice address

1381 S Patrick Dr
45TH Medical Group
Patrick AFB, FL 32925-3606

Phone

(678) 517-7363

NPI assigned

Feb 5, 2007

Last updated

Aug 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1043359250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "address_2": "45TH MEDICAL GROUP",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "678-517-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 S PATRICK DR",
            "address_2": "45TH MEDICAL GROUP",
            "city": "PATRICK AFB",
            "state": "FL",
            "postal_code": "329253606",
            "telephone_number": "678-517-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "NAQUITA",
        "middle_name": "JACKSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN117197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Jeffcoat, PHARM-D
• Justin L Jennings, DMD
• Ian James Johnson, M.D.
• Sondra Adele Long, LCSW
• Rhonda Mangione, PHARMACIST
• Lisa R Martin, LCSW
• Gabriela Martinez, MD
• Kevin S McCaughin, PHARMD
• Kyle McIntosh, D.O.
• Lakisha C Miller, ARNP

• Women's Health Nurse Practitioner in Patrick AFB, FL
• Providers in Patrick AFB, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.