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Individual

MRS. JENNIFER LAUREN STIFTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8340
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106779
FL
363A00000X
Physician Assistant
Primary
PA9113169
FL

Other

Enumeration date
11/15/2012
Last updated
03/05/2026
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