| Doctor Name: | JENNIFER MANCHESTER |
| NPI Number: | 1063755304 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0990652 |
| Business Practice Address: | 8990 Washington St Thornton, CO - 802294537 |
| Business Phone Number: | 7209291655 |
| Business Fax Number: | |
| Mailing Address: | 1345 Plaza Ct N, Ste 1a LAFAYETTE |
| State: | CO |
| Postal Code: | 800263531 |
| Phone Number: | 3036653036 |
| Fax Number: | |
| NPI Enumeration Date: | 04/05/2013 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0990652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |