Provider Demographics
NPI:1689157190
Name:MCMANUS, ERIKA (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 S ABERDEENSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-6926
Mailing Address - Country:US
Mailing Address - Phone:904-651-8168
Mailing Address - Fax:
Practice Address - Street 1:2700 FIRE FIGHTER MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9539
Practice Address - Country:US
Practice Address - Phone:904-997-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9324845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily