| Doctor Name: | JILL JENKINS MANCHESTER |
| NPI Number: | 1144587668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 352100 |
| Business Practice Address: | 2439 Whitman Way San Bruno, CA - 940663852 |
| Business Phone Number: | 6508729449 |
| Business Fax Number: | |
| Mailing Address: | 2439 Whitman Way, SAN BRUNO |
| State: | CA |
| Postal Code: | 940663852 |
| Phone Number: | 6508729449 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2012 |
| NPI Last Update Date: | 04/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 352100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |