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Individual
JENNY DRICE
Active
Individual
JENNY DRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA057613
NJ
207R00000X
Internal Medicine Physician
Primary
ME0097130
FL
208M00000X
Hospitalist Physician
ME0097130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780038-00
—
FL
05
—
6659403
—
NJ
01
—
AE477
MEDICARE
FL
01
—
MA057613
MEDICAL LICENSE
NJ
Enumeration date
08/17/2006
Last updated
02/14/2014
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