MANERVIA LEE
NPI 1437509312
Licensed Practical Nurse in Jackson, MS

Active since June 21, 2016
1058 RIDGEWOOD PL STE G, JACKSON, MS 39211(601) 809-9222 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2017, Jun 21, 2016 (2 updates tracked since 2016).

  • Individual
  • Female
  • Licensed Practical Nurse

About MANERVIA LEE

This page provides the complete NPI Profile along with additional information for Manervia Lee, a provider established in Jackson, Mississippi with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1437509312 assigned on June 2016. The practitioner's primary taxonomy code is 164W00000X with license number 326285 (MS). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1437509312 Verify this NPI
Provider Name
MANERVIA LEE
Gender
Female
Entity Type
Individual
Location Address
1058 RIDGEWOOD PL STE G JACKSON, MS 39211
Location Phone
(601) 809-9222
Mailing Address
1058 RIDGEWOOD PL STE G JACKSON, MS 39211
Mailing Phone
(601) 809-9222
Is Sole Proprietor?
No
Enumeration Date
06-21-2016
Last Update Date
01-19-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
326285
License State
MS
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WA2000XNursing Service Providers

Registered Nurse
Administrator

865836 (MS)
2163WC0400XNursing Service Providers

Registered Nurse
Case Management

865836 (MS)
3163WH0200XNursing Service Providers

Registered Nurse
Home Health

865836 (MS)
4171M00000XOther Service Providers

Case Manager/Care Coordinator

 
5172V00000XOther Service Providers

Community Health Worker

 
6174400000XOther Service Providers

Specialist

 
7174H00000XOther Service Providers

Health Educator

 
8372600000XNursing Service Related Providers

Adult Companion

 
9373H00000XNursing Service Related Providers

Day Training/Habilitation Specialist

 
10374U00000XNursing Service Related Providers

Home Health Aide

36693 (MS)
11376J00000XNursing Service Related Providers

Homemaker

 
12376K00000XNursing Service Related Providers

Nurse's Aide

36693 (MS)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437509312, enumerated as an "individual" on June 21, 2016.

The provider is located at 1058 RIDGEWOOD PL STE G JACKSON, MS 39211 and the phone number is (601) 809-9222.

Licensed Practical Nurse with taxonomy code 164W00000X.