Individual
HOLLIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10849 NORMANDY BLVD, JACKSONVILLE, FL 32221-1926
(904) 614-8364
Mailing address
10849 NORMANDY BLVD, JACKSONVILLE, FL 32221-1926
(904) 614-8364
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-19034
FL
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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