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MANERVIA LEE

Nursing Service Providers Registered Nurse Administrator

Provider NPI: 1437509312

Provider Information:
 MANERVIA  LEE 
Gender: F
Not Sole Proprietor

Practice Location:
1058 RIDGEWOOD PL STE G  JACKSON, MS 39211-2002 US
Tel: 601-809-9222  Fax: --

Business Mailing Address:
1058 RIDGEWOOD PL STE G  JACKSON, MS 39211-2002 US
Tel: 601-809-9222  Fax: --

NPI Information:
NPI: 1437509312
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WA2000XNursing Service Providers
Registered Nurse
Administrator
MS865836
N163WC0400XNursing Service Providers
Registered Nurse
MS865836
N163WH0200XNursing Service Providers
Registered Nurse
MS865836
Y164W00000XNursing Service Providers
Licensed Practical Nurse
MS326285
N174400000XOther Service Providers
Specialist
N372600000XNursing Service Related Providers
Adult Companion
N373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist
N374U00000XNursing Service Related Providers
Home Health Aide
MS36693
N376J00000XNursing Service Related Providers
Homemaker
N376K00000XNursing Service Related Providers
Nurse's Aide
MS36693
N172V00000XOther Service Providers
Community Health Worker
N171M00000XOther Service Providers
Case Manager/Care Coordinator
N174H00000X

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 164W00000X

Type:

Classification:



Definition:



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