Individual
DR. JENNIFER JANE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 9TH AVE N, ST PETERSBURG, FL 33705-1271
(727) 308-3341
(727) 216-2193
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 875-4551
(404) 875-1394
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
033974
GA
2084P0804X
Child & Adolescent Psychiatry Physician
ME-129323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME-129323
STATE OF FLORIDA
FL
Enumeration date
09/04/2007
Last updated
08/02/2019
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