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Individual
JENNIFER REBECCA RICKMAN
Active
Individual
JENNIFER REBECCA RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN588226
PA
363LF0000X
Family Nurse Practitioner
SP19351
PA
363LP2300X
Primary Care Nurse Practitioner
Primary
11041861
FL
Other
Enumeration date
07/30/2018
Last updated
05/18/2026
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