JENNISE MANZO NPI 1346049152

NPI Information

  • NPI: 1346049152
  • Provider Name: JENNISE MANZO
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 4545 GEORGETOWN PL STE A3
    STOCKTON, CA
    ZIP 95207
  • Phone: (209) 955-1139

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NPI Details

Jennise Manzo is a peer specialist in Stockton, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jennise Manzo NPI is 1346049152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4545 GEORGETOWN PL STE A3
STOCKTON, CA
ZIP 95207-228
Phone: (209) 955-1139

The enumeration date for this NPI number is 3/12/2025 and was last updated on 3/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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