NPI

Manervia Lee

NPI 1437509312

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2016-06-21
Last updated
2017-01-19

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Specialties

Licenses

License MS
865836
License MS
326285
License MS
36693

Location

Practice location
1058 Ridgewood Pl Ste G
City
Jackson MS
Postal code
39211-2002
Phone
(601) 809-9222

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Jackson, MS. 8,701 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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