EDWARD MANNING


Address: 2500 North State Street, Dept of Neurology, Jackson, MS 39216
Phone: 6019845500

EDWARD MANNING (NPI# 1689689010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689689010
Entity Type Individual
Full Name EDWARD MANNING
Credential PH.D.
Practice Address 2500 North State Street
Dept of Neurology
Jackson
MS 39216
Mailing Address Po Box 11407
Dept # 2130
Birmingham
AL 35246-2130
Practice Telephone 6019845500
Practice Fax Number 6019845499
Mailing Telephone 6019845500
Mailing Fax Number 6019845499
Enumeration Date 2006-07-31
Last Update Date 2013-02-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 25-324 MS Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1676608 05
MS 0110219 05

Other Providers EDWARD MANNING

NPI Name Taxonomy Address Enumeration
1821271883 Edward W. Manning Jr. Pharmacist 1170 Ne Industrial Park Rd, Meridian, MS 39301-1100 2007-12-13
1972923308 Edward P Manning Internal Medicine 300 Cedar St, New Haven, CT 06519-1612 2014-04-24

Office Location

Street Address 2500 NORTH STATE STREET
DEPT OF NEUROLOGY
City JACKSON
State MS
Zip Code 39216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376549816 John Joseph Sheehan Jr. Internal Medicine 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 2005-06-21
1912520370 Janna Leigh Williams Student in an Organized Health Care Education/Training Program 2500 North State Street, Dept of Emergency Medicine, Jackson, MS 39216 2020-05-20
1609498401 Chin-qune Oliver Yeung Lai Wah Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216 2020-05-14
1689293250 Karine Desouza Family Medicine 2500 North State Street, Attn: Department of Family Medicine, Jackson, MS 39216 2020-04-13
1225667249 Mallory Browning Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216-4505 2020-04-02
1912490400 Alberto Andres Arteaga Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc, Department of Otolaryngology - 5 East, Jackson, MS 39216 2018-06-11
1003309493 Britton Postlethwaite Beatrous Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 2018-06-11
1750874145 Joseph Alexander De Gruy Student in an Organized Health Care Education/Training Program 2500 North State Street, Ummc Ent Department - 5east, Jackson, MS 39216 2018-06-11
1689161523 Joshua Phillip Rouhan Student in an Organized Health Care Education/Training Program 2500 North State Street, Department of Emergency Medicine, Jackson, MS 39216-4505 2018-04-17
1336660356 Iram Aman Student in an Organized Health Care Education/Training Program 2500 North State Street, Jackson, MS 39216 2017-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073093894 Virginia Catherine Persinger Clinical Neuropsychologist 1350 E Woodrow Ave, Jackson, MS 39216-5112 2018-08-21
1780963793 Joy Humphreys Clark Clinical Neuropsychologist 1350 E. Woodrow Wilson, Jackson, MS 39216-5112 2011-08-08
1083931323 Eunja Park Talbot Clinical Neuropsychologist 23 Hardwood Dr, Jackson, NJ 08527-5349 2010-04-27
1740325786 John S Hand Phd PC & Associates Clinical Neuropsychologist 1200 N West Ave Ste 812, Jackson, MI 49202-2180 2007-02-20
1740361880 Wendy Elaine Laakmann Clinical Neuropsychologist 460 South Cache Street, Jackson, WY 83001 2006-10-17
1023402047 Nancy H. Goldman, LLC Clinical Neuropsychologist 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 2015-03-27
1891919213 Ted Bennett Clinical Neuropsychologist 1500 E Woodrow Wilson Ave, Office A370, Jackson, MS 39216-5116 2007-04-13
1942359096 Clea C Evans Clinical Neuropsychologist 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 2007-01-09
1053327759 Robert D Annett Clinical Neuropsychologist 2500 N State St, Jackson, MS 39216-4500 2006-08-01
1770599110 University Neurology Group, Pllc Clinical Neuropsychologist 2500 North State Street, Jackson, MS 39216 2006-07-31
Find all providers in JACKSON

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City JACKSON
Zip Code 39216

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Dataset Information

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.

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