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Individual
MRS. JENNIFER LEE RETIKIS
Active
Individual
MRS. JENNIFER LEE RETIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024177316
VA
363LF0000X
Family Nurse Practitioner
Primary
APRN11029828
FL
Other
Enumeration date
07/16/2019
Last updated
12/18/2023
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