| Doctor Name: | NAQUITA JACKSON MANNING |
| NPI Number: | 1043359250 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN117197 |
| Business Practice Address: | 1381 S Patrick Dr 45th Medical Group Patrick Afb, FL - 329253606 |
| Business Phone Number: | 6785177363 |
| Business Fax Number: | |
| Mailing Address: | 1381 S Patrick Dr, 45th Medical Group PATRICK AFB |
| State: | FL |
| Postal Code: | 329253606 |
| Phone Number: | 6785177363 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 08/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN117197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |