| Jennifer M Manos, APRN | |
|
808 South 52nd Street, Rogers, AR 72758-8602 | |
| (479) 936-9900 | |
| (479) 587-1366 |
| Full Name | Jennifer M Manos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 808 South 52nd Street, Rogers, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962701466 | NPI | - | NPPES |
| 1962701466 | Medicaid | MO | |
| 190323758 | Medicaid | AR | |
| 200408730A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | A03532 (Arkansas) | Primary |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer M Manos, APRN 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 Ph: (479) 587-1700 | Jennifer M Manos, APRN 808 South 52nd Street, Rogers, AR 72758-8602 Ph: (479) 936-9900 |
Lauren Elizabeth Nueske, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Paige Lauren Davis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Mrs. Leah Marie Cossey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1194 W Walnut St, Rogers, AR 72756 Phone: 479-878-2550 Fax: 479-878-2555 | |
Annelise Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 W Poplar St, Rogers, AR 72756 Phone: 479-636-9235 | |
Staci Herndon Gathright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Walker Dyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S 42nd St, Ste 100, Rogers, AR 72758 Phone: 479-273-9173 Fax: 479-464-9989 | |
Starry Taylor Hubbell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 |