| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNIFER LYNN MANJO | 1033534102 | 2024-09-06 |
Jennifer Manjo [F] graduated in 2013 and primarily specializes in Nurse Practitioner.
Jennifer Lynn Manjo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033534102. Registration indicates Jennifer Lynn Manjo is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Acute Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Acute Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 5890093561 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Jennifer Lynn Manjo N.P. |
| Other Provider Name | Jennifer Lynn Hillman |
| Practice Office Address | 20410 OBSERVATION DR STE 100 GERMANTOWN, MD US |
| Practice Office Telephone | 3017620277 |
| Practice Office Fax | 3013309108 |
| Mailing Address | 20410 OBSERVATION DR STE 100 GERMANTOWN, MD 208766419 US |
| Business Telephone | 3017620277 |
| Business Fax | 3013309108 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2100X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Acute Care All Other Specialties & Provider Types Nurse Practitioner Acute Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | R180496
MD |