| Doctor Name: | MR. JEFFERY LYNN MANNING |
| NPI Number: | 1376796771 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | F-NP |
| License Number: | 5074276-4405 |
| Business Practice Address: | 1396 N 4800 W Plain City, UT - 844049489 |
| Business Phone Number: | 8017317227 |
| Business Fax Number: | |
| Mailing Address: | 1396 N 4800 W, PLAIN CITY |
| State: | UT |
| Postal Code: | 844049489 |
| Phone Number: | 8017317227 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5074276-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |