Johnnjalyn Shataun Manning, APRN-BC

Nurse practitioner in Fort Worth, Texas · NPI 1104714278

Johnnjalyn Manning is one of 876 nurse practitioners practicing in Fort Worth, Texas. Johnnjalyn Manning practices with Acclaim Physician Group Inc.

Registry record (NPPES)

NPI
1104714278
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
1500 S Main St
Fort Worth, TX 76104-4917
(817) 702-1100
Enumerated
Jun 26, 2025
Record last updated
Aug 25, 2025
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.