MEDICARE: JULIA ANN MANNING CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	550978	TX
2	363LA2100X	Acute Care Nurse Practitioner	AP017847	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033110101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA ANN MANNING CNP

Provider Business Mailing Address
First Line	:	PO BOX 73627
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77273-3627
Country	:	US
Telephone Number	:	281-444-3278
Fax Number	:	832-249-3861

Provider Business Practice Location Address
First Line	:	17350 ST. LUKES WAY
Second Line	:	SUITE 400
City	:	THE WOODLANDS
State	:	TX
Zip	:	77384-4167
Country	:	US
Telephone Number	:	281-444-3278
Fax Number	:	832-249-3861

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/29/2021

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