Provider Demographics
NPI:1306407374
Name:MCMANUS, JAMI BECK (CRNP)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:BECK
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:SWEET WATER
Mailing Address - State:AL
Mailing Address - Zip Code:36782-0099
Mailing Address - Country:US
Mailing Address - Phone:334-455-9507
Mailing Address - Fax:
Practice Address - Street 1:1415 MOSLEY DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-3334
Practice Address - Country:US
Practice Address - Phone:334-636-9613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-095498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily