Individual
MS. JAMIE MARIE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., REG. MH INTERN
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
IMH6758
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMH6758
FL
101YM0800X
Mental Health Counselor
IMH6758
FL
101YP2500X
Professional Counselor
IMH6758
FL
104100000X
Social Worker
Primary
—
FL
106H00000X
Marriage & Family Therapist
IMH6758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128989400
—
FL
Enumeration date
01/21/2009
Last updated
11/15/2025
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