Individual
JENNIFER E FORDAN-HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4611 US HIGHWAY 17, FLEMING ISLAND, FL 32003-8245
(904) 264-4333
(904) 264-4301
Mailing address
4611 US HIGHWAY 17, FLEMING ISLAND, FL 32003-8245
(904) 264-4333
(904) 264-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0070212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912068
—
AL
Enumeration date
12/26/2005
Last updated
07/21/2022
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