JESSIE R MCMANUS (NPI# 1881930824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881930824 |
| Entity Type | Individual |
| Full Name | JESSIE R MCMANUS |
| Other Name | JESSIE R BORDELEAU |
| Credential | ANP BC |
| Practice Address |
360 Tolland Tpke Suite 2c Manchester CT 06042-1771 |
| Practice Telephone | 8606436000 |
| Practice Fax Number | 8606477124 |
| Mailing Telephone | 8606436000 |
| Mailing Fax Number | 8606477124 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2014-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5228 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
360 TOLLAND TPKE SUITE 2C |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430219 | Lancelot P Morgan | Physician Assistant | 360 Tolland Tpke, 3c, Manchester, CT 06042-1771 | 2005-07-13 |
| 1205285814 | Vanessa Kristine Romero | Physician Assistant | 360 Tolland Tpke, Suite 1e, Manchester, CT 06042-1771 | 2016-06-06 |
| 1407265978 | Marissa Caye Carignan | Physician Assistant | 360 Tolland Tpke, Suite 1e, Manchester, CT 06042-1771 | 2014-08-08 |
| 1619393337 | Ptsma Inc | Clinic/Center | 360 Tolland Tpke, Suite 2e, Manchester, CT 06042-1771 | 2014-03-06 |
| 1578805164 | John James Griffith | Urology | 360 Tolland Tpke, Manchester, CT 06042 | 2013-03-21 |
| 1598053803 | Brian Kelly | Surgery | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1771 | 2011-07-20 |
| 1528240108 | Gastroenterology Associates of Manchester, LLC | Nurse Practitioner | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1771 | 2007-12-05 |
| 1881884641 | Buckland Ear Nose & Throat LLC | Specialist/Technologist | 360 Tolland Tpke, Suiter 1e, Manchester, CT 06042-1771 | 2007-07-27 |
| 1679629489 | Monroe Heyward Rackow | Dentist | 360 Tolland Tpke, Suite 2a, Manchester, CT 06042-1771 | 2007-01-25 |
| 1003960360 | Ronald J Albert | Dentist | 360 Tolland Tpke, Suite 2b, Manchester, CT 06042-1771 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104321249 | Rachel Ann Rang | Nurse Practitioner | 159 Woodland Way, Manchester, MI 48158-8585 | 2018-03-29 |
| 1396182119 | Carol Jean Napier | Nurse Practitioner | 515 Memorial Dr Ste 3, Manchester, KY 40962-9157 | 2013-06-03 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1801023056 | Chastity J Boucher | Nurse Practitioner | 1200 Elm St Unit 702, Manchester, NH 03101-2517 | 2009-06-15 |
| 1841392024 | Ivy Joyce Gabai | Nurse Practitioner | 140 Queen City Ave, Manchester, NH 03103-7122 | 2006-09-01 |
| 1871563098 | Candice T Pych | Nurse Practitioner | 272 Main St, Manchester, CT 06042-3536 | 2006-01-23 |
| 1326562828 | Meghan Tetreault | Nurse Practitioner | 353 Main St, Manchester, CT 06040-4145 | 2017-07-27 |
| 1598217564 | Prisca Zikuce Langa | Nurse Practitioner | 138 Webster St, Manchester, NH 03104 | 2016-10-26 |
| 1225432347 | Patty M Dumont | Nurse Practitioner | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2014-10-17 |
| 1699026179 | Jessica Amy Snyder | Nurse Practitioner | 718 Smyth Road, Manchester, MA 03104 | 2012-09-25 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
Please comment or provide details below to improve the information on JESSIE R MCMANUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.