Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Roxanne Manning, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1639026883

Kathleen Roxanne Manning, AGPCNP-BC is a Nurse Practitioner in Mobile, Alabama. Graduated from University of South Alabama College of Medicine in 2025, 1 year ago. Licensed in Alabama.

Years since qualifying
1
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

6801 Airport Blvd
Mobile, AL 36608-3709
Phone: (251) 633-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3-002870 (AL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 3-002870 (AL)

Record details

NPI number1639026883
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMarch 16, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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