Jane E Manning, P.A.
Individual provider Active NPI Medical Physician Assistant · Willow Creek, CA
NPI 1376674598 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1376674598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA 11573 (CA)
- Practice address
- 38883 Hwy 299
Box 726
Willow Creek, CA 95573-0726 - Phone
- (530) 629-3111
- Fax
- (530) 629-3122
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 11573 | CA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 11573 | CA | Yes |
Addresses
Primary practice location
38883 Hwy 299
Box 726
Willow Creek, CA 95573-0726
Mailing address
670 9TH St
Suite 203
Arcata, CA 95521-6248
Phone (707) 826-8633
Other providers in Willow Creek, CA
- Amanda Baer James
- William O. Jones
- Klamath Trinity Non-Emergency Transportation
- Patricia Komlenic
- Cynthia Llewellyn
- Karen Mayville
- Loretta Rae McCurtain
- Jesus Mendez Jr.
- Krista Moore
- Judi G Nelson
All providers in Willow Creek, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.