Jeffery Lynn Manning, F-NP
Individual provider Active NPI Family Nurse Practitioner · Plain City, UT
NPI 1376796771 · NPPES record last updated Apr 16, 2009
Key facts
- NPI
- 1376796771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5074276-4405 (UT)
- Practice address
- 1396 N 4800 W
Plain City, UT 84404-9489 - Phone
- (801) 731-7227
- NPI assigned
- Oct 29, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5074276-4405 | UT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5074276-4405 | UT | Yes |
Addresses
Primary practice location
1396 N 4800 W
Plain City, UT 84404-9489
Mailing address
1396 N 4800 W
Plain City, UT 84404-9489
Phone (801) 731-7227
Other providers in Plain City, UT
- Kimberly Davis
- Jamie Jo Heckert
- Gitzel Iglesias
- Shannette Keeler
- Jesse Stokes Lloyd
- Mallory Ann McLean
- Mercury Medical LLC
- Stephanie M Mitchell
- Christina Mae Morris
- Mountain Strong Spine and Performance
All providers in Plain City, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2009. 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.