Provider Demographics
NPI:1235533522
Name:MANNING, JASMINE K (ND)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:K
Last Name:MANNING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2629
Mailing Address - Country:US
Mailing Address - Phone:203-281-5900
Mailing Address - Fax:
Practice Address - Street 1:2 BROADWAY
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2629
Practice Address - Country:US
Practice Address - Phone:203-281-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000524175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath